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SAN-JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVI^?ON <br />304 E 4ESER AVENUE — 3RD BOOR <br />PO BOX 388 <br />STOCKTON, CA 95201-0388 <br />Accounting Office: 209 468-3420 <br />="voice= <br />TO: TRACY DEFENSE DEPOT* <br /> <br /> <br />ATTN: TRACY DEFENSE DEPOT <br />RE: TRACY DEFENSE DEPOT* <br />25700 CHRISMAN RD TRACY <br />Report 15255 <br />St sment Printed: 12/18/96 <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Account # 0003359 <br />Facility )7:0:073 779 <br />Service Activity <br />Date Description Hrs Employee Amount_ <br />Invoice # 034538 -- Date of Invoice: <br />12/17/96 2380 UST Permit Fee <br />12/17/96 2380 UST Permit Fee <br />12/17/96 2380 UST Permit Fee <br />If this INVOICE has been Paid, Please Disregard this Notice . . . <br />PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe <br />at the rate of 110% of the Base Fee <br />30 days after the Payment DUE DATE. <br />12/17/96 <br />Tank # TA153827 $170.00 <br />Tank # TAIS3828 $170.00 <br />Tank # TA153829 $170.00 <br />--------y---------------------- ----- <br />Total for this invoice: j510.00 <br />Payment DUE DATE 01 7 <br />PAYMENT <br />RECEIVED <br />JAN 211997 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />PENALTIES for all FEES for SERVICE will be ASSESSED <br />at the rate of 15% of the Service Fee <br />30 days after the Payment DUE DATE <br />and EACH 30 days thereafter.. <br />TOTAL DUE this Billing.P,)riod- $510.00 <br />Please Make CHECKS PAYABLE to: A„ 9-0 .:iiiiG wer E. U -II Cld <br />510.00 $0.00-__$510.00 <br />IIE. I tato 31 days 31 to 60 days 61 to 90 days 91 to 120 days ) 120 days Account <br />Balance <br />../ OEC 2 4 Z6 <br />