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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 ENVIRONMENTAL HEALTH DivON S ment Printed : 09/10/99 304 E WEBER AVENUE — 3RD OOR STOCKTON , CA 95202 Accounting Office : 209 46B-3420 TO : EASTLAND PLAZA — PO BOX 4146 Account # — 0019455 STOCKTON , CA 95204 ATTN : HENRY J BARKET FacilityID 012138 RE : EASTLAND PLA7A 678 N WILSON WAY STOCKTON .. .. . PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT Service Activity — y Date J Description � Hrs Employee _ Amount_ Invoice # 064358 -- Elate of Invoice : 09/10/99 09/10 /99 UST TANK FEES (1994) $170 . 00 09 /10/99 UST PENALTIES (TANK) pd5"YrjkiNT $170 . 00 09/10/99 UST TANK FEES (1995) RECEIVED $170 a_© 09/10/99 UST PENALTIES (TANK ) $170 . 00 09/10/99 UST TANK FEES (1996) 4- 1 $170 . 00 09/10/99 UST PENALTIES (TANK ) $170 , 00 09/10 /99 UST TANK FEES (1997) SAN JOAQUIN COUNTY $170 . 00 ` 09/10 !99 UST PENALTIES (TANK) ENVCES IRO MENTPUBLIC ALHEALTHTH IDIVISION $170 . 00 09/10/99 UST TANK .FEES (1998) $170 . 00 09/10/99 UST PENALTIES (TANK ) $170 . 00 ----------------------- Total for this invoice : Payment DUE DATE If this INVOICE has been Paid, Please Disregard this Notice Invoice # 064359 -- Date of Invoice : 09/10/99 09 /10/99 2380 UST Permit Fee (1999) Tank # $17 00 ---------------------------------- 17 Total for this invoice : $170 . 00 Payment DUE DATE 1 1 r f this INVOICE has been Paid,.�Please Disregard this Notice Fir all SERVICE FEES penalties will Penalties will be added on all Permits be added at the rate of 10% 60 days at the rate of 100E of the Base Fee 30 past invoice date and each 30 days days after the due date. thereafter. TOTAL DUE this Billing Period: _V$1 , 870. 00 Please make Checks PAYABLE to : PHS/EHD • I