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SAN JOAOUIN COUNTY PUBLIC�ALTH SERVICES <br />IVISI <br />ENVIRONMENTAL HEALTH DON <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON. CA 95202 <br />209468-3420 <br />INVOICE <br />BOZZANO, LINO <br />THREE PALMS GROCERY* <br />2891 N ARATA RD <br />STOCKTON CA 95205 <br />Health <br />I Date Program Desorption <br />Invoice # IN0079517 -- Date of Invoice : 1130101 <br />Page 1 <br />Account ID AR0003669 <br />FA0004030 <br />Facility ID <br />Date Printed 1/31/01 <br />RE: THREE PALMS GROCERY* <br />6732 E HWY 88 <br />STOCKTON CA 95215 <br />OWNER : BOZZANO, LINO <br />- - - - -H-3 --Employee -- <br />1/30/2001 <br />2301 <br />UST STATE SURCHARGE <br />1/30/2001 <br />2301 <br />UST STATE SURCHARGE <br />113012001 <br />2360 <br />Underground Storage Tank EH Operating Permit Fee <br />Tank # 005 <br />1/30/2001 <br />2362 <br />Underground Storage Tank EH Operating Permit Fee <br />Tank # 002 <br />1/30/2001 <br />2399 <br />UNIFIED PROGRAM FAC STATE SERVICE FEE <br />Total for this Invoice <br />Payment Due Date <br />TOTAL DUE this Billing Period <br />Pteace make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PA <br />5255.rpt <br />Amount <br />$8.00 <br />$8.00 <br />$125.00 <br />$500.00 <br />Penalties will be added to all Permit Fees For all SERVICE FEES <br />at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% <br />30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br />PAYMENT <br />RECEIVED <br />FEB 2 7 2001 <br />SAN JDi f Y <br />