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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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F
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FREMONT
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2185
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2200 - Hazardous Waste Program
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PR0524255
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BILLING PRE 2019
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Entry Properties
Last modified
10/7/2019 4:17:08 PM
Creation date
10/7/2019 4:14:37 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0524255
PE
2220
FACILITY_ID
FA0003284
FACILITY_NAME
FOOD MART GASOLINE*
STREET_NUMBER
2185
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
14113045
CURRENT_STATUS
01
SITE_LOCATION
2185 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR. !NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> 0003189 <br /> Facility ID FA0003611 <br /> Date Pinned 4/2/2007 <br /> PARKWOODS BEACON* RE : PARKWOODS BEACON* <br /> 1612 W HAMMER LN 1612 W HAMMER LN <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 <br /> OWNER : PAKZAD, FRED <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157229---Date of Invoice: 1/2512007 IIIIII IVIVIIVVII VIII VIIVIVIII VIII VIII III 111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 270.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <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& i TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for this Invoice $ 1,322.00 <br /> Payment Due Date 2125/2007 <br /> TOTAL DUE this Billing Period $ 1,322.00 <br /> PAYMENT <br /> RECEIVEC <br /> APR 2 201-- <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 DES/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 m <br />
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