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SA11bJOAQUIN COUNTY PUBLIC' '.TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIV%,RfV <br /> 304 E WEBER AVE-3RD FLOOR <br /> ti;,OCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account t AR0006208 <br /> Facility I FA0005584 <br /> LEEMMUNOMMMEM <br /> Date Printed4/24/00 <br /> LVEMMMMMEMMMEM <br /> NORM CRUM RE: WOOLSEY OIL CO/ROBERTS PETRO <br /> WOOLSEY OIL CO/ROBERTS PETRO 930 E VICTOR RD <br /> 166 FRANK WEST CR <br /> STOCKTON CA 95206 <br /> OWNER: ROBERTS,WILLIAM S <br /> Health <br /> Date program Description Hrs Employee Amount <br /> Invoice# IN0069711 ---Date of Invoice: 4119/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2301 UST STATE SURCHARGE $16.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice 66.00 <br /> Payment Due Date 512 000 <br /> TOTAL DUE this Billing Period 466.00 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> atthe Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> MpY 1920 <br /> AYH 9E�`!IOb6 nv <br /> 5255.rpf <br />