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JHIV ovmwUlty t UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA <br /> <br /> E AccountlD AR0003311 <br /> Facility ID FA0003732 <br /> Date Printed 1/30/2006 <br /> ANGLE, BALAJI & CHHAYA RE : 99 SHELL* <br /> 99 SHELL* 7700 MORELAND CT <br /> 7700 MORELAND CT STOCKTON, CA 95212 <br /> STOCKTON, CA 95212 <br /> OWNER : ANGLE, BALAJI & CHHAYA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143347---Date of Invoice: 1/27/2006 11111 11111 11111 11111 IN 111111 11111 1111 IN <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 130.00 <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 2350 ADDITIONAL UST-2481 COMPLIANT $ 125.00 <br /> 1/27/2006 2350 ADDITIONAL UST-2481 COMPLIANT $ 125.00 <br /> 1/27/2006 2352 UST FACILITY& 1 TANK-2481 COMPLIANT $ 500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice 1 $ 1,149.00 <br /> Payment Due Date 3/1 tTb� <br /> TOTAL DUE this Billing Period $ 1,149. <br /> EB 2p0h. <br /> SAN <br /> HFANH pAE7�CNT� <br /> ENT <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 CES/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 />