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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15252 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 209-468-3420 <br /> ::p�:: RAN ^✓ HCl ::N:� f": N::_. <br /> Billing <br /> Account # Date <br /> TO : RO-TILE <br /> <br /> <br /> ATTN : CARY & TERRI HALL Facility ID <br /> RE : RO-TILE 003945 <br /> 310 CLUFF AVE LOnI <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> Health <br /> Date Program Description Amount <br /> Invoice # : ,044209 <br /> 12/12/97 2301 UST STATE SURCHARGE ` L nnn...nnn... eee $8 , 00 <br /> 12/12/97 2380 Underground Tank Permit Fee (y� � � tiQ��.� $170 . 00 <br /> 12/12/97 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> Total for this invoice : $196 .50 <br /> Total Due : $196 . 5 <br /> Payment DUE DATE : 01 _ J96 <br /> This INVOICE is for the ANNUAL <br /> Environmental Health PERMIT FEES <br /> for this FACILITY <br /> [January 1 , 1998 to December 31 , 1998] PAYMENT <br /> If this ACCOUNT has other charges due, REC°FRIED <br /> a complete monthly ACCOUNT STATEMENT will be <br /> sent after December 20th FEB - 91998 <br /> SAN JOAQUIN COUNTY <br /> LTH SERVICES <br /> Penalties will be added on all Permits <br /> ENVIRONI.ME TEAL HEALTH DIVISION <br /> at the rate of 100% of the Base Fee 30 <br /> days after the due date . <br /> Please make Checks PAYABLE to : PHS/FHO <br />