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sAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ,,NVI11RONMENTAL HEALTH OIVIS" `N Stagy ^nuent Printed : 01j23/9G <br /> 304 E WEBER AVENUE - 3RD F OR <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> TO : SHELL. OIL COMPANY INC - -=.--w----- <br /> PO BOX 4023 Account # 0003361 <br /> CONCORD , CA 94524 ------- - � _:= -- <br /> ATTN : HS&E ADMIN SUPPORT Facility ID 002324 <br /> RE : PACIF=IC AVE SHELL <br /> 6131 PACIFIC AVE STQC_KTO.M <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 025552 -- Date of Invoice: 01/22196 <br /> 01/22/96 2360 UST Permit Fee Tank # TAI.22304 $170 . 00 <br /> 01 /22/96 2360 UST Permit Fee Tank # TA122305 $170 . 00 <br /> 01 /22/96 2360 US'I- Permit Fee Tank # TA122306 <br /> Total for this invoice: w-48 <br /> Payment DUE BATE 02/21/9 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of 11% of the Service Fee <br /> at the rate of 111% of the Base Fee 31 days after the Payment DUE DATE <br /> 31 days after the Payment DUE DATE. and EACH 31 days thereafter. <br /> TOTAL DUE this Billing Period: �510.S�0j, <br /> Account 1 -30 Days �1- 60 Days 61 50 Da 91-120 Gays 121•r Plus <br /> S u m rn a r -.__ _ - -._ _ __ �� -�- — _ -___,______._ �-- - _�__ ___...___.__..____ <br /> Y <br /> 510 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> SUP ��TING DETAIL <br />