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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report W52 <br />ENVIRONMENTAL HEALTH DIVISION � <br />304 E WEBER AVE — 3RD FLOOR <br />STOCKTON, CA 95202 209-468-3420 <br />-1... R14 'wF 0 1. C, F.:. <br />T0: MANTECA, CITY OF <br />1001 LJ CENTER ST <br />MANTECA, CA 95337 1 <br />1 <br />RE: CITY OF MANTECA <br />210 t-WETMORE AVE MANTECA <br />Billing <br />Account # Date <br />0003432 12/15/97 <br />PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br />Facility ID <br />©03&44} <br />Health <br />Date Program Description Amount <br />Invoice #: <br />044167 <br />12/12/97 <br />2380 <br />Underground Tank <br />Permit Fee <br />12/12/97 <br />2380 <br />Underground Tank <br />Permit Fee <br />12/12/97 <br />2380 <br />Underground, Tank <br />Permit Fee <br />12/12/97 <br />2399 <br />FIED,PRGRAM <br />FAC STATE SERVICE FEE <br />Olnl�•�y1�-441z-�'Io�> � I <br />$170.00 <br />$170.00 <br />$170.00 <br />$18.50 <br />Total for this invoice: $528.50 <br />C/"U — 1101 - 417 - 1 I( -),D I Jz •13 Total Due: <br />W1 2501- 961 - Moo 1',2.13 --- <br />Payment DUE DATE: <br />W1-1 1 -L -\1-z- 1400 132.t3 <br />This INVOICE is for the ANNUAL <br />Environmental Health PERMIT FEES <br />for this FACILITY <br />[January 1, 1998 to December 31, 1998] <br />If this -ACCOUNT has other charges due, <br />a complete monthly ACCOUNT STATEMENT will be <br />sent after December 20th <br />Penalties will be added on all Permits <br />at the rate of 100% of the Base Fee 30 <br />days after the due date. <br />Please make Checks PAYABLE to: PHS/EHD <br />0 a <br />$528.50 <br />PAYMENT <br />RECEIVED <br />JAN - 5 1998 <br />SAN JOAQUIN CC' in <br />PUBLIC HEAUF 1$I ' <br />ENVIRONMEM AL h -1 -AL,,, ,00" <br />