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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Repnt. p;:i? <br /> ENVIRONMENTAL. HEALTH DIVISION <br /> 304 E WEBER AVE — 3RD FLOOR <br /> STOCKTON, CA 95202 209-468—IIy3y420y <br /> Billing <br /> Account # Date <br /> TO :` MAIN STREET BEACON #474 <br /> 3440 E MAIN ST 0009105 12/15/97 <br /> STOCKTON , CA 95205 <br /> ATTN : SCHAIL HAFAIZ Facility ID <br /> RE : MAIN STREET BEACON #474 ©06423L <br /> 3440 E MAIN ST STOCKTON <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> Health <br /> Date Program Description Amount <br /> Invoice # : 044305 <br /> 12/12/97 2301 UST STATE SURCHARGE $24 . 00 <br /> 12/12j97 2380 Underground Tank Permit Fee $170 . 00 <br /> 12/12/97 2380 Underground Tank Permit Fee $170 . 00 <br /> 12/12/97 2380 Underground Tank Permit Fee $170 . 00 <br /> 12/12/97 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> Total for this invoice : $552 .50 <br /> L Total Due : $552.50 <br /> Payment DUE DATE : 54 <br /> This INVOICE is for the ANNUAL PECOVED <br /> Environmental Health PERMIT FEES DEC 2 9199T <br /> for this FACILITY <br /> [January 1 , 1998 to December 31 , 1998] SAN jOAQUIN COOS <br /> If this ACCOUNT has other charges due , PUSUCHEALTH OF", ..We <br /> a complete monthly ACCOUNT STATEMENT will be VIRONMENTAL HEALI n DIVISION <br /> sent after December 20th <br /> Penalties will be added on all Permits g� <br /> at the rate of 100 of the Base Fee 30 /�� <br /> days after the due date . <br /> Please make Checks PAYABLE to : PHS/EHO <br />