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JAN JVAUUIN GUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTII 'T Page 1 <br /> 30/f E WEBER AVE . 3RD FLOOR <br /> PTO e: ON,(209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID I AR0023864 <br /> Facility ID FA0014111 <br /> Date Printed 1/30/2006 <br /> SINGH, KULWINDER RE : TRACY PETRO INC <br /> TRACY PETRO INC 3400 MACARTHUR DR <br /> 3400 MACARTHUR DR TRACY, CA 95377 <br /> TRACY, CA 95376 <br /> OWNER : SINGH, KULWINDER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144663—Date of Invoice: 1/27/2006 IIIIIIIIIiIII IIVIIIVIII VIIIVIIIVIII VIIIIIIIIIIIIVIIIVIIIIIIIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 285.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY 8 1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,304.00 <br /> Payment Due Date - 0 <br /> TOTAL DUE this Billing Period $ ,304.0 <br /> }fjl.lV;�r t <br /> FEtj 1 7 2006 <br /> SAN JOAO <br /> rOCUN <br /> TY <br /> HErND ,_":NTALEP'1nrMEAT. <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254 rpt <br />