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s <br /> �.. JOAQUIN COUNTY PUBLIC HE,'- TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISI( <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0003197 <br /> Facility ID FA0003619 <br /> Date Printed 4/24/00 <br /> ENVIRONMENTAL HEALTH &SAFETY RE: ARCO STATION#6100* <br /> ARCO PRODUCTS CO 25775 S PATTERSON PASS RD <br /> <br /> OWNER: ARCO PRODUCTS CO <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069482---Date of Invoice: 4/19/00 <br /> 4/15/2000 9991 Credit Adjustment -$10.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2301 UST STATE SURCHARGE $32.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#009 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#010 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $812.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Period $812.00 <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 /> t'q*'y Fall! <br /> REG"EiVE <br /> SAN JOAOUIN COUNTY <br /> eUBLIC HEALTH SERVICES <br /> ENVIROW.EIJAL HEMTH DIVISIOry <br /> 5255.rpt <br />