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SAN. JOAQUIN COUNTY PUBLI H SERVICES y Report #5255 'ENVIRONMENTAL HEALTH DIV )N Sty mF-_ c Printed : 06/03/95 • 445 N SAN JOAQUIN STREET QX_3 PO S8a STOCKTON , CA 95201-0388 Accounting Office : 209 468-3420 A c c o u n t S tat e m e n t TO : ROMERO , DEMMOS & SHERRY 2523 E SCOTTS Account # 0009820 STOCKTON , CA 95205 ATTN : Facility IO 006934 RE : ROMERO PROPERTY 2523 E SCOTTS STOCKTON PLEASE RETURN a COPY of THIS STATEMENT vin 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 # TA5O5669 $56 .00 01/01/90 UST FACILITY FEES $100 .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 .00 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 # TA6O5669 $170. 00 01/01/95 2301 UST State Surcharge Fee Tank # TA5O5669 $56 .00 03/01/95 APPLY PENALTY $170 . 00 05/09/95 UST CLOSURE FEE $234 .60 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, Please Disregard this Notice . . . PENALTIES for all FEES for SERVICE will be ASSESSED PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 11% of the Service Fee at the rate of 111: of the Base Fee 3/ days after the Payment DUE DATE 31 days 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 Days 91-120 Days 121+ Plus Summary 0 . 00 2 , 117 . 00 0 . 00 0 . 00 0 . 00