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SAN JOAOUIN COUNTY PUBLIC ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. C <br /> <br /> Account ID AR0003353w <br /> Facility ID FA0003773 <br /> Date Printed 1/31/01 <br /> a <br /> RE : JIM THORPE OIL INC <br /> JIM THORPE OIL INC 351 N BECKMAN RD <br /> PO BOX 357 LODI CA 95240 <br /> LODI CA 952410357 OWNER: THORPE,JIM OIL INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079448---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#014 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#015 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#016 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#017 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#013 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoicel $1,150.00 <br /> Payment Due Date 3/2/2001 <br /> TOTAL DUE this Billing Period $1,150.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> F�� 0 2001 <br /> SAN JOAQU!N COUNTY <br /> P,ril_IC HEALTH SERVICES <br /> !RCNMENITAL HFALTFI MVISION <br /> 5255.rpt <br />