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aHrN JUAWU1114 I.VVIN I i <br /> ENVIRONMENTAL HEALTH DEPA"MENT P` <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account lD AR001153E <br /> Facility ID F FA0007461 <br /> Date Printed F 1/26/2007 <br /> KJS ENTERPRISE LLC RE : MAIN STREET ARCO AM PM* <br /> MAIN STREET ARCO AM PM* 1100 S MAIN ST <br /> 1100 S MAIN ST MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : KJS ENTERPRISE LLC <br /> Date Health <br /> Program Description Amou1 <br /> Invoice# IN0157160---Date of Invoice: 1/25/2007 I IIIIIII IIIIII III VIII VIII VIII VIII IIID VIII I'll/VIII VIII VIII IIII IIIIII 11111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONSNR $ 206.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.0( <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.0( <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONAL UST $ 125.00 <br /> 1/25/2007 2362 UST FACILITY& 1 TANK $ 500.0( <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,025.00 <br /> Payment Due Date 2/25/200 <br /> TOTAL DUE this Billing Period $ '1,025. 0 <br /> REaCEIVED <br /> FEB 13 20bi <br /> sAN JOAQUIN COUNrr <br /> ENVIRONMENTAL <br /> HEALTH DEPAR-WENT <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 OES!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 thereaf <br /> 5254.rpt <br />