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s <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5252 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE — 3RD FLOOR <br /> STOCKTON , CA 95202 209-468-3420^ qq- <br /> Billing <br /> Account # Date <br /> TO : PACIFIC AVE SHELL <br /> 6131 PACIFIC AVE 0003361 12/15/97 <br /> STOCKTON , CA 95207 <br /> ATTN : PACIFIC AVE SHELL Facility ID <br /> RE : PACIFIC AVE SHELL F- 002324 <br /> 6131 PACIFIC AVE STOCKTON <br /> PLEASE RETURN INVOICE P40TICE WITH PAYMENT <br /> Health <br /> Date Program Description Amount <br /> Invoice # : 043964 <br /> 12/12/97 2360 Underground Tank Permit Fee $170 . 00 <br /> 12.112/97 2360 Underground Tank Permit Fee $170 . 00 <br /> 12/12/97 2360 Underground Tank Permit Fee $170 . 00 <br /> 1 /12/97 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $13 . 50 <br /> Total for this .invoice : $528.50 <br /> Total Due : 528 .50 <br /> Payment DUE DATE: 01 /1.2/98 <br /> This INVOICE is for the ANNUAL ` <br /> Environmental Health PERMIT FEES <br /> for this FACILITY <br /> [January 1 , 1998 to December 31 , 1998] ` ���j 7 <br /> If this ACCOUNT has other charges due , <br /> a complete monthly ACCOUNT STATEMENT will be <br /> sent after December 20th <br /> PAYMENT <br /> Penalties will be added on all Permits RECEIVED <br /> at the rate of 100% of the Base Fee 30 <br /> days after the due date . DEC 221997 <br /> Please make Checks PAYABLE to : PHS/EHD SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONN ENTAL HEALTH DIVISION <br /> c <br />