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SAN JOAQUIN COUNTY PUBLIC *LTH SERVICES PAYMe" ort #¢2 <br /> ENVIRONMENTAL HEALTH DlVlsRECEIV D I <br /> 445 N SAN JOAQUIN �. <br /> PO Box 2009 JAN 1 1994 W <br /> STOCKTON, CA 95201 209-468-0340 SANJOAQ COUNTY F <br /> ct c c o 0-a rti t S t a t es m e n-t' H SERVICES <br /> PUBLIC H L <br /> -7S 41e C?d 3 ENVIRONMENTAL HEALTH DIVISION <br /> Account # Date q <br /> T0: BEACON STATION #474 _ <br /> 000209 <br /> 525 W 3RD ST 11/23/9� rz^ �i��93 II _ '-�I----�_ 14 , <br /> HANFORD, CA 93230 �F�IV `s <br /> 7 <br /> 1 Facility ID <br /> ATTN: BEACON OIL COMPANY /�1+ / ,;- <br /> RE: BEACON STATION #474 / r 002021 <br /> PLEASE RETURN THIS STATEMQIT WITH YOUR PAYMENT <br /> Health <br /> Date Program Description d3-gel D Amount <br /> Previous Balance <br /> Invoice #001319 -- Date of Invoice: 06/09/93 <br /> 06/09/93 1616 GROCERY ( 1000 SQ FT PERMIT FEE 110. 00 <br /> 07/02193 9999 PAYMENT �'r <br /> �1�17� : , - -110. 00 <br /> Total for this invoice : 0.00 <br /> Invoice #003092 -- Date of Invoice: 08/06/93 -477. 00 <br /> 09/17/92 9999 PAYMENT 78. 00 <br /> 06/09/93 5031 UST INSTALL PLAN CHECK/FACILITY <br /> 06/09/93 S034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 76. 00 <br /> 06/17/93 S031 UST INSTALL PLAN CHECK/FACILITY <br /> 06/17/93 5034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 39. 00 <br /> 06/224/93 S031 UST INSTALL PLAN CHECK/FACILITY 39. 00 <br /> 06/30/93 5034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 78.00 <br /> 06/30/93 5031 UST INSTALL PLAN CHECK/FACILITY 39. 00 <br /> 09/16/93 5034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 78. 00 <br /> 09/16/93 5034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 78. 00 <br /> 09/16/93 5034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 117. 00 <br /> _195. 00 <br /> 09/17/93 9999 PAYMENT -234. 00 <br /> 09/17/93 9999 PAYMENT <br /> 09/22/93 S034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 78. 00 <br /> ` <br /> 09/27/93 S031 UST INSTALL PLAN CHECK/FACILITY 156. 00 <br /> 10/06/93 S031 UST INSTALL PLAN CHECK/FACILITY 117. 00 <br /> :. <br /> 10/08/93 5031 UST INSTALL PLAN CHECK/FACILITY <br /> 10/13/9 5031 US liVS-'ALL PLAN CHECK/FACILITY 3''• 00 <br /> 10/14/93 5031 UST INSTALL PLAN CHECK/FACILITY 39. 00 <br /> 10/21/93 5034 UST PERM CLOSURE PLAN CHECK/TANK INSPECTION 15 . 00 <br /> Total for this invoice : 615. <br /> 1993/1994 PERMITS DUE & PAYABLE BY JUL`( 15TH. 1993 <br /> 1 v0 Days 31 60 Ua f 1 90 Days I 91-12'0 DL <br /> mount 1�1 Flus ll Amount Due <br /> y ----- — � <br /> FIE <br /> 1, 092. 00 0. 00 --477. 00 0. 00 0. 00 8 615. 00 <br /> Pe'r:a 1'1.- <br /> .Les will be added ana l For all SA C6 FEES penalties wi _ <br />