Laserfiche WebLink
aAN jiJAUUIN t..VUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPART OT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0004672 <br /> Facility ID FA0002602 <br /> Date Printed F 1/30/2006 <br /> ANNA MOSHER RE : KAISER PERMANENTE <br /> KAISER PERMANENTE 7373 WEST LN <br /> 7373 N WEST LN STOCKTON, CA 95210 <br /> STOCKTON, CA 95210 <br /> OWNER : KAISER PERMANENTE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142953---Date of Invoice : 1/27/2006 IIIIIIIII VIIIIIIIIII VIIIVIIVIVIIIIIIII IIIIII VIIIIIIII <br /> 1/27/2006 2227 GEN 5-25 TONS PERMIT $ 1,568.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 375.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 2,482.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 482.00 <br /> c <br /> SAN Jh1LTY <br /> AiVIRONvE?iTA <br /> - F, <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 DES/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 />