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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DIV- "ON St ement Printed : 12/18/96 <br /> 304 E`'WEBER AVENUE — 3RD —OOR <br /> M <br /> PO BOX 388 <br /> STOCKTON , CA 95201--0388 <br /> Accor.inting Office : 209 468-3420 <br /> rr ' 1-Y DIST. <br /> DEC 2 7 1996 <br /> TO : SHELL OIL COMPANY INC — <br /> 1390 WTI- LOW PASS RD ST 900 Recount # 0003361 <br /> CONCORD , CA 94520 <br /> ATTN : HSFE ADMIN SUPPORT/JOHN KOCH Facility ID 002324 <br /> RE : PACIFIC AVE SHELL <br /> 6131 PACIFIC AVE STOCK.TON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amorint <br /> Invoice 11 034390 -- Date of Invoice : 12/17/96 <br /> 12/17 /96 2360 UST Permit Fee Tank # TA1223O4 $1.70 . 00 <br /> 122/17/96 2360 UST Permit Fee Tank # TA1223O5 $170 . 00 <br /> 12/17/96 2360 UST Permit Fee Tank it TA1223O6 $170 . 00 <br /> Total for this invoice : $510 . 00 <br /> Payment DUE DATE <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> Ca �' W <br /> ,JAN 21 1997 <br /> SAN JCIAQUiN CCJUNI r <br /> PUBLIC HEALTH SERVICES <br /> Iti T HF CI'VISIGN <br /> PENALTIES for all FEES for SR�IYCill�l �� A55AL�� <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 10% of the Service Fee <br /> at the rate of 100% 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 : $510 . 00 <br /> Please Make CHECKS PAYABLE to : G='. II II <br /> 0 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days ) 120 days Account <br /> Balance <br />