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ENVIRONMENTAL HEALTH DIVISION Statement Printed : 01/23/96 <br /> 304 ; L3it8ER AVEN(eE — 3RD F'awR <br /> PO BOX '388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office : 209 469•-3420 <br /> J.- r-1 *✓ Ca $- C: es <br /> TO : B J J COMPANY INC <br /> 2431 E MARIPOSA RD Account # 0003120— <br /> STOCKTON , CA 9521'3 <br /> ATTN : B J J COMPANY INC Facility ID 003541 <br /> -RE44rs'�''�Ky1N"P°A49N"' �..- <br /> 2431 E MARIPOSA RP STOCKTON <br /> { <br /> PLEASE;AETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> ^Date—Description Hrs Employee Amount <br /> Invoice # 025585 -- Date of Invoice: 01/22/96 <br /> 01 /22/96 2380 UST Permit 'Fee Tank # TA181803 _ $170. 00 <br /> 01 /22/96 2380 UST Permit Fee Tank # TA181804 $ .00 <br /> ----------------------------- ----- <br /> Total for this invoice : ;340 .00= <br /> Payment DUE DATE /21/9 <br /> If 1h1s E1REaSLF hAtlitArt_Paid, Please Oisrer)prd this Notice . . . <br /> PAYMENT <br /> RECEIVED <br /> FEB 13 1990 <br /> . _. . < 5HN JUAQI,lN.00Utd:4•y--__... -... <br /> ?(? Ptf8LIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES, for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED an all ANNUAL PERMITS at the rate of 11% of the Service Fee <br /> at the rate of IAA% of the Base Fee 3A days aftet the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH JR days thereafter. <br /> TOTAL DUE this Billing Period: - ;340,00 <br /> Account 1 1-30 Days 31-60 Days 61-90 Days `91--120 Days 121+ Plus <br /> Summary ll — <br /> 340 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />