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6AN -MrgAQUIN,,,C9UNTY PUBLIC TH SERVICES Report #5255 <br /> E-4VIkONMF,NTAL HEALTH DIVIS4MJ Stat nt Printed: 02/22/96 <br /> 304 E-IWEB9�R AVENUE - 3RD FLOOR <br /> . PO BOX- 388 <br /> STOCKTON, CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> Trnvolce <br /> TO: B J J COMPANY INC <br /> 2431 E MARIPOSA RD Account # 0003120 <br /> STOCKTON, CA 95213 <br /> ATTN: B J J COMPANY INC Facility ID 003541 <br /> RE: B J J COMPANY INC <br /> 2431 E MARIPOSA--RB-- STOCKTON <br /> PLEASE RETURN a COPY of TRIS STATERENT with YOUR PAYRENT <br /> Service Activity <br /> [Date Description Hrs Employee Amount <br /> Invoice # 026298 -- Date of Invoice: 02/05/96 <br /> O2/O-5/96-2301 UST State Surcharge Fee Tank # TA1818O4 $56 .00 <br /> 02/05/96 2301 UST State Surcharge Fee Tank # TA1818O3 $56 . 00 <br /> ------------------------------------- <br /> Total for this invoice: $112 .00 <br /> Payment DUE DATE 03/06/96 <br /> If this INVOICE has beer, Paid, Please Disregard this Notice . <br /> „ s <br /> PAYMENT <br /> �FC;ErlF�k�: <br /> NR 121996 <br /> JOAQIII( 4l,Llivi'Y <br /> LIC HEALTH SERVICES <br /> ENVIROBNMENTAL HEALTH DIV SION <br /> L <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 111 of the Service Fee <br /> at the rate of 1001 of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period: 5112 .00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91-120 Days 121 us <br /> Summary 11 <br /> 112 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />