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Page 1 <br /> SAN JOAOUIN COUNTY . <br /> / ENVIRONMENTAL HEALTH DEPA&AENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0003144 <br /> Facility ID FA0003565 <br /> Date Printed 3/4/2002 <br /> UNIVERSAL SWEEPINGS SERVICES RE : UNIVERSAL SWEEPINGSSERVICES <br /> PO BOX 28010 1113 SHAW RD <br /> SAN JOSE CA 95159 STOCKTON CA 95215408 <br /> OWNER: UNIVERSAL SWEEPINGS ERVICES <br /> Health Amount <br /> Him Employee <br /> Date Program Description <br /> Invoice# IN0090657- Date of in : 112212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2362 Underground Storage Tank EH Operating Permit Fee Tank#001 $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#002 $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#003 $125.00 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNR $200.00 <br /> Total for this Invoice $997.50 <br /> Payment Due Date 317/2002 <br /> TOTAL DUE this Billing Period <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYME T <br /> F—­Pe—naltles will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will he added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 9NIa�3r.����sHa�iNn <br /> JNkl3a"���1bS�3NNn <br /> Zpt7, 6 G OW <br /> 003H <br /> PAY",/ EN I <br /> F'r - <br /> 5255.rpt <br />