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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E HAZELTON AVENUE <br />STOCKTON, CA 95205 <br />Phone: (209) 468-3420 <br />INVOICE <br />Account ID <br />Return This INVOICE with Your PAYMENT Facility ID <br />Date Printed <br /> <br /> <br /> <br /> <br />OWNER: Chevron Extra Mile <br />Page 1 <br />AR0008432 <br />FA0006443 <br />5/13/2025 <br />Date Health <br />Program Description Amount <br />Invoice # IN0384444 --- Date of Invoice : 9/25/2023 <br />9/25/2023 <br />1921 <br />HMBP-Regular-Primary Location <br />9/25/2023 <br />1922 <br />CERS Processing Fee <br />9/25/2023 <br />2220 <br />SM HW GEN <5 TONS/YR <br />9/25/2023 <br />2301 <br />UST STATE SURCHARGE FEE <br />9/25/2023 <br />2301 <br />UST STATE SURCHARGE FEE <br />9/25/2023 <br />2301 <br />UST STATE SURCHARGE FEE <br />9/25/2023 <br />2301 <br />UST STATE SURCHARGE FEE <br />9/25/2023 <br />2360 <br />UST - PER TANK FEE <br />9/25/2023 <br />2360 <br />UST - PER TANK FEE <br />9/25/2023 <br />2360 <br />UST - PER TANK FEE <br />9/25/2023 <br />2360 <br />UST - PER TANK FEE <br />9/25/2023 <br />2361 <br />UST FACILITY <br />9/25/2023 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />PAST DUE! <br />Deliquent charges over <br />90 days! <br />*IN03844443096.00* <br />PR0520756 <br />$426.00 <br />PR0520756 <br />$30.00 <br />PR0521578 <br />$298.00 <br />TA0189705 <br />$20.00 <br />TA0189706 <br />$20.00 <br />TA0189707 <br />$20.00 <br />TA0189708 <br />$20.00 <br />TA0189708 <br />$250.00 <br />TA0189707 <br />$250.00 <br />TA0189706 <br />$250.00 <br />TA0189705 <br />$250.00 <br />PR0231897 <br />$1,178.00 <br />$84.00 <br />Total for this Invoice $3,096.00 <br />Payment Due Date 10/30/2023 <br />TOTAL DUE this Billing Period $ 3,096.00 <br />Please make Checks PAYABLE to: 'EHD' <br />or <br />Pay online at: 'haps://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 />