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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL 'HEALTH DIVISI1 ' <br /> 445 N SAN JOAQUIN STREET <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-0340 <br /> TO : LODI QUICK LUBE <br /> 808 S CHEROKEE LN Account # 0003428 <br /> LODI , CA 95240 _ <br /> ATTN : LODI QUICK LUBE Facility ID 003840 <br /> RE : LODI QUICK LUBF — Billing Date : 07. /13j95 <br /> 808 S CHEROKEE LN LODI <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice ,# 017056 -- Date of Invoice : 01/11/95 <br /> 01/11/95 2380 Underground Tank Permit Fee Z 25011V $170 . 00 <br /> -------- ------ ..--------------- - - <br /> Total for 4his invoice : 70 . 00 <br /> If this INVOICE has been Paid , Please Disregard this Notice . <br /> and DEP"CT the Amount Paid from the TOTAL DUE <br /> PAYMENT <br /> RECEIVED <br /> SAN JUAQ_ '; <br /> PUBLIC HEAL I H 'L'�VI( c' <br /> ENVIRONMI:', FIEALI'-CWI,ION <br /> Penalties will be added on all PERMIT FEES <br /> at the rate of 100% of the Base Fee <br /> 60 days after the invoice date . <br /> For all SERVICE FEES penalties will <br /> be added at the rate of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period: $170.00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 170 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> %%W 1-1 <br />