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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR ` <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0003197 1111 <br /> Facility ID FA0003619 <br /> Date Printed 2/28/2006 <br /> PATEL, GIRA I RE : ARP MINI MART CORP <br /> ARP MINI MART CORP 25775 S PATTERSON PASS RD <br /> <br /> <br /> OWNER : PATEL, GIRA I <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142663---Date of Invoice: 1/27/2006 11111111111111 Ili Hill 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 Hill 1111 IN <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,429.00 <br /> Payment Due Date 3 06 <br /> IL Siso;Na,q �� TOTAL DUE this Billing Period $ 1,429. <br /> ECL '" N%j <br /> SgN��q� 7 <br /> EN�'4QV/A!C: <br /> NE ,ytTti FP ,T <br /> r <br /> Please make Checks PAYABLCto: HD' )— eturn a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees ES/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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />