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SAW. JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> .&.MVfRONMENTAL HEALTH DIVI&N Ste*ent Printed : 02/05/96 <br /> 304 €- WEBER AVENUE - 3RD OR <br /> ''PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : TED PETERS TRUCKING COMPANY __ <br /> PO BOX 831 [Account # 0003624 <br /> MANTECA , CA 95336 I�Ac <br /> ATTN : DAVID PETERS ETAL facility ID 003996 p <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 Amount <br /> Invoice # 026470 -- Date of Invoice : 02/05/96 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA1427O1 $56 . 00 <br /> Total for this invoice: - f9 6 <br /> 0 <br /> 5 6 0 <br /> DATE Z3;,0 If this INVOICE has been Paid, Please Disregard this Notice . . Payment DUE <br /> C <br /> FN111R //Njy q Al 0 96 <br /> FSA44 <br /> : RCF <br /> Ty C)1V S <br /> S/ <br /> oy <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 101 of the Service Fee <br /> at the rate of 100% of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period : ^� `;56 . 00 <br /> Account1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br /> Summary <br /> 226 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />