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SAN JOAQUIN COUNTY PUBLIC 44EALTH SERVICES Report #5155 <br /> ENVIRONMENTAL HEALTH DIVL._ 40N r St,`„ ent Printed : 01 /29/99 <br /> 304 E WEBER AVENUE - 3W'FLOOR <br /> STOCKTON . CA 95202 <br /> Accounting Office : 209 468-3420 <br /> TO : CHEVRON PRODUCTS USA — <br /> PO BOX 6004 Account # 0008424 <br /> SAN RAMON , CA 94583 -- <br /> AT TN : KATHY NORRIS/PERMIT DESK Facility ID 0@6437 <br /> RE : CHEVRON STATION it'905 7 <br /> 139 S CENTFF �A3T— <br /> STOCKTON <br /> PLEASE RETURN a COPY of TI S STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee AmOUnt <br /> Invoice # 054304 -- Date of Invoice : 01/28/99 <br /> 01 /28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 01/28/99 2360 UST Permit Fee Tank # TA103905 $170 . 00 <br /> 01 /28/99 2360 UST Permit Fee lank # TA103906 $170 . 00 <br /> 01/28/99 2360 UST Permit Fee Tank # TA103907 $170 . 00 <br /> 01 /28/99 2360 UST Permit Fee Tank # TA103908 $170 . 00 <br /> ----------------------------------- <br /> Total for this invoice: 5690. 0 <br /> Payment DUE DATE 3 01 99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAYMENT <br /> FEB 2 6 1999 <br /> div 7 <br /> SAN JOAQUIN CC) ry <br /> ES <br /> ENVIRONMENTAL HEAL"i r-i OIV SIOr. <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 113 61 days <br /> at the rate of 1103 of the Base fee 31 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $690. 00 <br /> Please make Checks PAYABLE to : PHS/EHD <br />