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USAN JOAQUIN COUNTY PUBLI%,,rEF H SERVICES 1✓ Report #5255 -ENVIRONMENTAL HEALTH OIV' JN St. me.. c Printed : 06/08/95 445 N SA`J JOAQUIN STREET PO S8: 388 STOCKTON , CA 95201-0388 Accounting Office : 209 468-3420 A c c o u n t S tat e m e r-1 1= TO : ROMERO , DEMMOS & SHERRY 2523 E SCOTTS Account 4 0009820 STOCKTON , CA 95205 t ATTN : Facility ID 006934 I RE :. ROMERO PROPERTY 2523 E SCOTTS STOCKTON PLEASE RETURN a COPY of THIS STATEIENT vitt YOUR PAYMENT Service Activity Date Description Hrs Employee Amount Invoice # 018715 -- Date of Invoice: 05/09/95 01/01/90 2301 UST State Surcharge Fee Tank A 74505669 $56.00 01/01/90 UST FACILITY FEES $:00 .00 01/01/90 UST TANK FEES $50.00 03/01/90 UST PENALTIES ( FACILITY) $100.00 03/01/90 UST PENALTIES (TANK) $50 .00 01/01/91 UST TANK FEES $170.00 03/01/91 UST PENALTIES (TANK) $170 .00 01/01/92 UST TANK FEES $170 .00 03/01/92 UST PENALTIES (TANK) $170 .60 01/01/93 UST TANK FEES $170 .00 03/01/93 UST PENALTIES (TANK) $170.00 01/01/94 UST TANK FEES $170 .00 03/01/94 UST PENALTIES (TANK) $170.00 01/01/95 2380 UST Permit Fee Tank 0 TASGS669 $170.00 01/01/95 2301 UST State Surcharge Fee Tank # TA685669 $56.00 03/01/95 APPLY PENALTY - - - - - -- - $170.00 05/09/95 UST CLOSURE FEE - - - ---- — - --- -- ---- — - $234 .00 ` 05/23/95 PAYMENT $-56.00 05/23/95 PAYMENT $-56.00 ------------------------------------ Total for this invoice: $2,234.00 Payment DUE DATE: 06/08/95 If this INVOICE has been Paid, Plisse Disregard this Notice . PENALTIES for all FEES for SERVICE will be ASSESSED PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 112 of the Service Fee at the rate of 111: of the Base Fee 31 days after the Payment DUE DATE 31 dais after the Payment DUE DATE. and EACH 31 days thereafter. TOTAL DUE this Billing Period: $2.234 .00 Account 1-30 Days 31-60 Days 61-90 Oays 91-120 Days 121- Plus Summary 0.00 2 , 117 . 00 0 . 00 0 . 00 0 . 00