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ENVIRONMENTAL HEALTH DIVISION <br />Z-404 t WEBER AVENUE — 3RD OOR <br />PO BOX 388 <br />STOCKTON, CA 95201-0388 <br />Accounting Office: 209 468-3420 <br />Tnvo3 ce: <br />TO: THREE PALMS GROCERY <br />2891 N ARATA RD <br />STOCKTON, CA 95205 <br />ATTN: BOZZANO, LINO <br />RE: THREE PALMS GROCERY <br />6732 E HWY 88 STOCKTON <br />Keporr erb-,5 <br />Statement Printed: 01/23/96 <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Account # 0003669 <br />Facility ID 004030 <br />Service Activity <br />Date Description Hrs Employee Amount <br />Invoice It 025843 -- Date of Invoice: <br />01/22/96 2360 UST Permit Fee <br />01/22/96 2360 UST Permit Fee <br />If this INVOICE has been Paid, Please Disregard this Notice . . . <br />PENALTIES will be ASSESSED on all ANNUAL PERMITS <br />at the rate of III% of the Base Fee <br />30 days after the Payment DUE DATE. <br />Account <br />Summary <br />01/22/96 <br />Tank # TA183002 $170.00 <br />Tank # TA183005 $170.00 <br />------- <br />------------------------ ----- <br />Total for this invoice: $340.00 <br />Payment DUE DATE 02/21/96 <br />PAYMENT <br />RECEIVED <br />FEB 13 1996 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />€NVIRONVENTA! HEALTH —D V-5!0TT - <br />PENALTIES for all FEES for SERVICE will be ASSESSED <br />at the rate of 11% of the Service Fee <br />31 days after the Payment DUE DATE <br />and EACH 31 days thereafter. <br />TOTAL DUE this Billing Period: $34000 <br />1-30 Days 31-60 Days 61-90 Days 91-120 Days 121+ Plus <br />340.00 0.00 0.00 0.00 <br />�� <br />