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Page 1 <br /> SAN JOAOUIN COUNTY PUBLIC OLTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account to AR0003293 <br /> FA0003714 <br /> Facility ID <br /> Date Printed 1/31101 <br /> RE . CHEVRON USA INC#91452* <br /> PERMIT DESK 334 E MAIN ST <br /> CHEVRON PRODUCTS USA RIPON CA 95366 <br /> PO BOX 6004 <br /> SAN RAMON CA 94583 OWNER: CHEVRON PRODUCTS USA <br /> Health Hrs Employee Amount <br /> tate Program Description <br /> Invoice# IN0079422--Date of Invoice: 1130101 <br /> $100.00 <br /> 1/30/2001 2220 SM HVV GEN<5 TONS/YR <br /> 113012001 2301 UST STATE SURCHARGE $8.00 <br /> 1130/2001 2301 UST STATE SURCHARGE <br /> 1130/2001 2301 UST STATE SURCHARGE Tank#007 $125.00 -7 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $125.00 <br /> 1130/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $500.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee $10.00 7 <br /> 1/3012001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE Total for this Invoice <br /> Payment Due Date 31212001 <br /> TOTAL DUE this Billing Period $864.0 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10% SII <br /> at the Rate of 100%of the Base Fee 60 Days after the Invoice Date and each 30 thereafter <br /> 30 Days after the Due Date <br /> PAYMENT <br /> RECEIVED <br /> MAR 14 2001 <br /> SAN JAQUIN COUNTY <br /> PUBLIC HEEALTH SERVICE <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rp1 <br />