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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231883
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BILLING_PRE 2019
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Entry Properties
Last modified
9/25/2019 9:18:52 AM
Creation date
11/8/2018 10:23:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\B\BENJAMIN HOLT\3011\PR0231883\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
12/29/2011 8:00:00 AM
QuestysRecordID
104119
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY PUBLIC` 7ALTH SERVICES �/ Report #5255 <br /> ENVIRONMENTAL HEALTH DIVIS ON Sta—Cement Printed : 02 /05/96 <br /> 304 E WEBER AVENUE — 3RD FLOOR <br /> PO BOX 388 �� / �/ RC1 <br /> STOCKTON , CA 95201-0388 U" <br /> Accounting Office : 209 468-3420NV' <br /> / CY— <br /> Torn - <br /> TO : SHELL OIL COMPANY INC <br /> <br /> <br /> ATTN : HS&E ADMIN SUPPORT Facility IO 002111 <br /> RE : BENJAMIN HOLT SHELL <br /> 3011 W BENJAMIN HOLT DR STOCKTON <br /> ;�3 PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> n Service Activity <br /> Date Description Hrs Employee Amount <br /> nvoice 91 026268 -- Date of Invoice : 02/05/96 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA188305 $56 . 00 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA188304 $56 . 00 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA188302 $56 . 00 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA188301 $56 . 00 <br /> ------------------------------------- <br /> Total for this invoice : $224 .00 <br /> Payment DUE DATE 03/06/96 <br /> If this INVOICE has been Paid, Please Oisregard this Notice . . . <br /> RFf:r: I1rc-Tt <br /> •3�°�9� Gr)< �vr��c C�l�,,,.��o �� � �� � ?,vv.paSsy`�� FEB 2 3199B <br /> K 1 vry n ,�^^"llh{Av PUBLIC HEAL FH SERVICES <br /> � ENVIRCrdhgENtAL �irnLTH gIVISION <br /> IV` <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 119 of the Service fee <br /> at the rate of 1911 of the Base Fee 31 days after the Payment DUE DATE <br /> 31 days after the Payment DUE DATE. and EACH 31 days thereafter. <br /> TOTAL DUE this Billing Period: $224 . 00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 904 . 00 0 . 00 0 . 00 897 . 00 0 . 00 <br /> N .o gym./ <br />
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