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• SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE 913 <br /> Facility ID FA0000916 <br /> Date Printed 2/6/2002 <br /> GASOLINE ACCOUNTING RE: 7 ELEVEN#19976* <br /> 7-ELEVEN INC 1399 N MAIN ST <br /> PO BOX 711 MANTECA CA 95336 <br /> DALLAS TX 75221 OWNER: 7-ELEVENINC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0090608—Date of Invoice: 1/2212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> 1122/2002 2362 Underground Storage Tank EH Operating Permit Fee Tank#004 $500.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#005 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> Total for this lnvolce .50 <br /> Payment Due Date 79975 <br /> TOTAL DUE this Billing Perloci $ <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEDIENT with Your PAYMENT <br /> Penalties will he added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 5255.rpt <br />