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` MIN UVMWUIN I.UUKIT KUDLIU KGRLIK StKVIUtb KeporL Rb--bb <br /> O-xRONMENTAL HEALTH DIVISION Statement " rint,ed : 01 /23/96 <br /> '304 \E_ WEBER AVENUE — 3RD FLOOR <br /> P-0 EVX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : SHELL OIL COMPANY INC – <br /> PO BOX 4023 Account, #� 0003344 <br /> CONCORD , CA 94524 _— <br /> ATTN : HS&E ADMIN SUPPORT Facility ID:::08:3 71: <br /> RE : SHELL OIL COMPANY* <br /> 'ryly�1,311.3 EE CHARTER WY STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> [Date. <br /> Description _ Hrs Employee Amount <br /> Invoice i 025696 -- Date of Invoice: 01/22/96 <br /> 01/22/96 2380 UST Permit Fee Tank # TA1O49O1 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TA1O49O2 $170 . 00 <br /> 01 /22/96 2380 UST Permit Fee Tank # TA1O49O3 $1 <br /> – – ;510.0 <br /> Total for this invoice: 0 <br /> Payment DUE DATE O2J21J9 <br /> If this INVOICE has been Paid, Please Oisregard this Notice . . . <br /> SUPp®V <br /> nNG <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of l0t of the Service Fee <br /> at the rate of 1003 of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter: <br /> TOTAL DUE this Billing Period: $510.00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120– Days-121_+ Plus� <br /> Summary - — --- <br /> 510 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> , <br />