Laserfiche WebLink
SAIIJOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountID AR0004645 <br /> FacilitylD FA0002463 <br /> LMMMMMMUMMMA <br /> Date Printed 2/5/2004 <br /> LOMMEEMENNOMMM <br /> FOOD 4 LESS RE : FOOD 4 LESS <br /> 8014 LOWER SACRAMENTO RD#1 678 N WILSON WAY <br /> STOCKTON, CA 95210 STOCKTON, CA 95205 <br /> OWNER : PAQ INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0116370---Date of Invoice : 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 85.00 <br /> 2/4/2004 2301 UST STATE SURCHARGE $ 15.00 <br /> 2/4/2004 2301 UST STATE SURCHARGE $ 15.00 <br /> 2/4/2004 2360 ADDITIONAL UST $ 125.00 <br /> 2/4/2004 2362 UST FACILITY&1 TANK $ 500.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 964.00 <br /> Payment Due Date 3/61 04 <br /> TOTAL DUE this Billing Period $ 964.0 <br /> REC V ED <br /> FEg % 4 2o04 <br /> SAN JOADUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 5 Days after the Invoice Date 60 Days a he Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />