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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICE'a Report 15255 <br /> FF�IVIF2R+VMENTlk(- PE4LTH DIVISI `I St,;,r =nt Printed : 1211819E <br /> :COQ Z_ *EBER AVENUE — 3RD Fb*�R 1/ <br /> P0. BOY. $8 <br /> ST64)' CA '95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : B J J COMPANY INC <br /> 2431 E MARIPOSA RD Account If _ 0003120 <br /> STOCKTON , CA 95213 a <br /> ATTN : B _J J_ GOMPANY .IN_C. _. Eae-xdiY.y 3D 003541 <br /> RE :, 8 J J C,OMPA NY__ING <br /> 2431 E P1ARIPOSA RD ; STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> �! Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice R 034423 -- Date of Invoice: 12/17/96 <br /> 12/17/%6 2380 UST Permit Fee Tank * TAISIS03 $170 . 00 <br /> 12 /17 /96 2380 UST Permit Fee Tank # TA181804 $17 0 <br /> Total for this invoice : $340 . 00 <br /> Payment DUE DATE 01/18/97 <br /> If this 11WOI4S has been 4ai4 Please 4isre¢ard this __ _ <br /> PAVINIVNT <br /> ` RFC :W-- ' <br /> JAN 141997 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DIVISION <br /> N <br /> 4 <br /> PENALTIES for all FEES for SERVICE will be ASSESSEO <br /> PENALTIES will be-ASSESSED on all ANNUAL PERMIT Fe at the rate of 102 of the Service Fee <br /> at the rate of 100E of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. 0 <br /> TOTAL DUE this Billing Period : $.340.00 <br /> Please Make CHECKS PAYABLE to : F, a ,":iii4 ,1," E". A 9:1 <br /> $340 . 00 $0 . 00 $0 D0 $0 . 00 $340 00 <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 121 days ) 120 days Account <br /> Balzn�'e � <br />