Laserfiche WebLink
SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID FAR000971705 <br /> Facility ID FA0006423 <br /> A <br /> Date Printed F 2/5/2002 <br /> CtX—� I <br /> 5916kIt87kfitiLEi 1FJI ktftBxti'41;& <br /> BE: MAIN STREET BEACON tt474 <br /> MAIN STREET BEACON#474 3440 E MAIN ST <br /> 3440 E MAIN ST STOCKTON CA 95205 <br /> STOCKTON CA 95205 OWNER: BAFAIZ,SOHAHJBAFAIZ,KHALIL <br /> Health <br /> Date Program Description Him Employee Amount <br /> Invoice# IN0090814—Date of Invoice: 112212002 <br /> 1/2212002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2362 Underground Storage Tank EH Operating Permit Fee Tank#004 $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#005 $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#006 $125.00 <br /> 112212002 2301 UST STATE SURCHARGE $10.00 <br /> Total for this Involce $797.50 <br /> Payment Due Date 3/7/2002 <br /> TOTAL DUE this Billing Period $797.50 - <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 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 /> PLA 165 4-9-6L <br /> PAYMENT <br /> RECEIVED <br /> APR 112002 <br /> PAN ICOUNTY <br /> UBLIC HE LTH SERVICES <br /> ENVIRONNIEN MI. HEALTH DIVISION <br /> 5255.rpf <br />