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S14N AQUIN COUNTY PUBLIC HEAL . .H SERVICES '+ Report #5255 <br /> r'NV-R2-IIMENTAL HEALTH DIVISION Statement Printed : 01 /23/96 <br /> .g04 E VBER AVENUE - 3RD IDOR 0 <br /> PD�f188 <br /> ST KT N , CA 95201-0388 <br /> A, counting Office : 209 468-3420 <br /> :[. r-e v cr .i. cL: aP <br /> TO : TED PETERS TRUCKING COMPANY — <br /> PO BOX 831 Account # 0003624 <br /> MANTECA , CA 95336 �_ <br /> ATTN : DAVID PETERS ETAL Facility ID 003996 <br /> Ea]i <br /> RE : TED PETERS TRUCKING COMPANY <br /> 1985 W YOSEMITE . MANTECA <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee WAmount <br /> Lnvoice # 025835 -- Date of Invoice : 01/22/96 <br /> 01/22/96 2380 UST Permit Fee Tank # TA142701 $170 . 00 <br /> --------y----------------------- %-- <br /> Total for this invoice : 2170. 00 <br /> Payment DUE DATE 0 21/96 <br /> ,f this INVOICE has been Paid, Please Disregard this Notice . . . <br /> RECEry n <br /> FEB 15 1996 <br /> SAN JOAQUIN COUNTY <br /> PUIBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of ift of the Service Fee <br /> at the rate of 144% of the Base Fee 31 days after the Payment DUE DATE <br /> 34 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period : <br /> --count 1-30 Days31-60 Days 61-90 Days 91-120 Da <br /> ys@@@ 121+ Plus <br /> mrnary -- --=s=� - � � <br /> 170 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> 116 0 <br />