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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> Account ID AR0008432 <br /> <br /> <br /> <br /> Date Printed 5/13/2025 <br /> John Khan RE : TRACY TEXACO <br /> Elite Fuels 2 Corp 2375 N TRACY BLVD <br /> 62375 N TRACY BLVD TRACY,CA 95376 <br /> TRACY, CA 95376 <br /> OWNER : Chevron Extra Mile <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0384444---Date of Invoice: 9/25/2023 *I N03844443096.00* <br /> 9/25/2023 1921 HMBP-Regular-Primary Location PR0520756 $426.00 <br /> 9/25/2023 1922 CERS Processing Fee PR0520756 $30.00 <br /> 9/25/2023 2220 SM HW GEN<5 TONS/YR PRO521578 $298.00 <br /> 9/25/2023 2301 UST STATE SURCHARGE FEE TA0189705 $20.00 <br /> 9/25/2023 2301 UST STATE SURCHARGE FEE TA0189706 $20.00 <br /> 9/25/2023 2301 UST STATE SURCHARGE FEE TA0189707 $20.00 <br /> 9/25/2023 2301 UST STATE SURCHARGE FEE TA0189708 $20.00 <br /> 9/25/2023 2360 UST-PER TANK FEE TA0189708 $250.00 <br /> 9/25/2023 2360 UST-PER TANK FEE TA0189707 $250.00 <br /> 9/25/2023 2360 UST-PER TANK FEE TA0189706 $250.00 <br /> 9/25/2023 2360 UST-PER TANK FEE TA0189705 $250.00 <br /> 9/25/2023 2361 UST FACILITY PR0231897 $1,178.00 <br /> 9/25/2023 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $84.00 <br /> Total for this Invoice $3,096.00 <br /> Payment Due Date 10/30/2023 <br /> PAST DUE! <br /> Deliquent charges over <br /> 90 days! <br /> TOTAL DUE this Billing Period $3,096.00 <br /> Please make Checks PAYABLE to: 'EHD' <br /> or <br /> Pay online at:'https://www.sigov.org/department/envhealth/fees/online-fee-payment' <br /> Penalties will be added to all Permit Fees For HMBP 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 60 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt End of report <br />