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Report 15255 <br /> JOAQ'UIN COUNTY PUBLICISALTH SERVICES S tent Printed : 01 /29 /99 <br /> ONMENTAL HEALTH DIVI N <br /> q WEBER AVENUE — 3RD FLOOR <br /> OCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> T r"a v ca 3 c mra <br /> TO : COLLEGEVILLE MARKET & CAFE" Account # 0001456 <br /> 13521 E MARIPOSA RD <br /> STOCKTON , CA 95205 �— — <br /> Facility ID A�i���'' <br /> ATTN : PHILIP MATHEW — <br /> RE : COLLEGEVILLE MARKET & CAFE <br /> 13521 E MARIPOSA RD — <br /> STOCKTON <br /> PLEASE RETURN a COPY of TNIS STIIENENT with YOUR PRYNENT <br /> Service Activity Amount <br /> 14rs Employee <br /> Date Description y —� <br /> Invoice # 054008 -- Date of Invoice : 01/28/89 $10, <br /> 01 /28 /99 2399 UNIFIED PROGRAM FAC STATE SERVICE <br /> FEE <br /> k 4PR507684 $16 <br /> 01 /28 /99 2301 UST State Surcharge Fee $17A <br /> Tank # PR50760 <br /> 01 /28/99 2360 UST Permit Fee Tank # TA226907 $17 <br /> 01 /28/99 2360 UST Permit Fee -- --- ----------___------- <br /> Total for this invoice: 03/ <br /> Payment DUEDATE <br /> If this INVOICE has been Paid, Please Disregard this Notice PAYMENT <br /> CE?r`>rE, <br /> FEB 17 1999 <br /> .. cvq Jii.:: Wf1 l:iA,fV(l <br /> PUBLIC 1164UH SEtVY GE.b <br /> ENVIRONMENTAL HEALTI,DIV)SIUN <br /> For all SERVICE FEES penalties will <br /> be added at the rate of 111 61 days <br /> Penalties will be added on all Permits past invoice date and each 31 days <br /> at the rate of 1111 of the Base Fee 31 thereafter. <br /> days after the due date. <br /> TOTAL DUE this Billing Period: Er <br /> Please make Checks PAYABLE to : PHS/EHD <br /> i <br />