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SAN QUIN C UNTYHEALTHUOIIC ME TH SERVICES r . ,; ( g 5^ <br /> 445 SAN JOAQUIN STREET <br /> I PD <br /> 44W <br /> 388 I <br /> STO/KTON , CA 95201-0388 <br /> Accounting Office : 209 468-0340 I <br /> Fw c, c: o LA n _U 3 t: e:% t eip r '1 k2: r.1 7'; II <br /> i <br /> TO : CHEVRON USA - <br /> PO BOX 5004 Account # 0008424 <br /> SAN RAMON , CA 94583 <br /> ATTN : PAT DURKIN/PERMIT DESK Facility ID 006437 <br /> yyy <br /> TfF': RUN-5- CHEVRON`"0-5-57--- - Billing Date : 01 /11j95 <br /> 139 S CENTER ST STOCKTON <br /> I <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> I <br /> _ _ I <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> I <br /> Invoice # 017187 -- Date of Invoice : 01/11/96 G <br /> 01/11/95 2360 Underground Tank Permit Fee (d3 qQ / $170 . 00 <br /> 01/11 /95 2360 Underground Tank Permit Fee $170 . 00 1 <br /> 01 /11/95 2360 Underground Tank Permit Fee $170 . 00 <br /> 01/11/95 2360 Underground Tank Permit Fee $170 . 00 <br /> Total-for-this invoice j680 .0 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> I <br /> Invoice # 017209 -- Date of Invoice : 01/11/96 <br /> 01 /11/95 2301 __ _,_ -- ---" $56:v0 - <br /> 01 /11/95 2301 $56 . 00 <br /> 01/11/95 2301 <br /> --------------=--------------- ----- <br /> Total for this invoice : 6168.0 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> Invoice # 017218 -- Date of Invoice : 01/11/95 <br /> 01 /11/95 2301 6 . 00 <br /> ------------------------------ - -- - <br /> Total for this invoice : / 56. 0 <br /> f If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE`]AY+ME T <br /> F <br /> I eng-lt <br /> tie _ wiYl -b e- a�fded an -ell-P-E-R#IT._-FEES REI _ <br /> j giv <br /> at the rate of 100% of the Base Fee JAN 2 6 1995 <br /> 60 days after the invoice date . SAN 4OANUINCOUNTY <br /> For all SERVICE FEES penalties will PUPLI('. M ALTHSkRVICES <br /> be added at the rate of 10% ENVIRONMENTAL HEALTH DIVISION <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period : 9 ' ;904 . 00 <br /> l <br /> -A-C-0o-urft I=31- U-& -3T S6=ays 67 Atys STI=27'70'=ays 23`+--PTuG <br />