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Y JOAQUIN COUNTY PUBLIC H TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIS1W 41 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0003293 <br /> LMNEEMOMMEMEMNIII <br /> Facility ID FA0003714 <br /> Date Printedq/24/00 <br /> PERMIT DESK RE: CHEVRON USA INC#91452* <br /> CHEVRON PRODUCTS USA 334 E MAIN ST <br /> PO BOX 6004 <br /> SAN RAMON CA 94583 <br /> OWNER: CHEVRON PRODUCTS USA <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069519—Date of Invoice : 4/19100 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2301 UST STATE SURCHARGE $24.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $644.00 <br /> Payment Due Date 5/24/00 <br /> TOTAL DUE this Billing Period $644.90 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%ofthe 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 eadr 30 thereafter <br /> MAY 22 <br /> aAN JOAQuw COUrn r <br /> PUE.UC HEALTH SERVICES <br /> =NVIRONN 41TAL HEW ONISION <br /> 5255.rpt <br />