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SAN90AQUIN COUNTY PUBLIC HE TH SERVICES <br />ENVIRONMENTAL HEALTH DIVIS1 .r <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />209-468-3420 <br />BOZZANO, LINO <br />THREE PALMS GROCERY* <br />2891 N ARATA RD <br />STOCKTON CA 95205 <br />INVOICE <br />RE: <br />OWNER: <br />Page 1 <br />Account l 7R00036 9— <br />LEEMENIMMINNEENINIA <br />Facility I FA0004030 <br />Date Printed 4/24/00LINMENEENIMMEMEN <br />THREE PALMS GROCERY* <br />6732 E HWY 88 <br />STOCKTON CA 95205 <br />BOZZANO, LINO <br />I Health <br />Date Program - Description - Hrs. ErnDloyee _ _ Amount <br />Invoice # IN0069645 — Date of Invoice : 4/19100 <br />4/19/2000 <br />2301 <br />UST STATE SURCHARGE <br />4/19/2000 <br />2360 <br />Underground Storage Tank EH Operating Permit Fee <br />4/1912000 <br />2360 <br />Underground Storage Tank EH Operating Permit Fee <br />4/19/2000 <br />2399 <br />UNIFIED PROGRAM FAC STATE SERVICE FEE <br />5255.rpt <br />$8.00 <br />Tank # 002 $170.00 <br />Tank # 005 $170.00 <br />$10.00 <br />Total for this Involee $358.00 <br />Payment Due Date 5/24/2000 <br />TOTAL DUE this Billing Period 358.0 <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%of the 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 each 30 thereafter <br />PAYMENT <br />MAY 22,2000 <br />SAN JOAQUIN COUNTY <br />PU6UC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />