Laserfiche WebLink
5AN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRQVMENTAL HEALTH DIVI, N <br />3�'4 E WEBER AVENUE — 3RD F_✓OR <br />PO 60X 388 <br />STOCKTON, CA 95201-0388 <br />Accounting Office: 209 468-3420 <br />.M . Y'...1 4%.J' Co .1. C:;: e:t <br />TO: CHEVRON USA <br /> <br /> <br />ATTNa KATHY NORRIS/PERMIT DESK <br />RE: CHEVRON #95715 MCCOMBS <br />301' W -KETTLEM-AN L4- LODI- <br />Report 15255 <br />Sta 'nent Printed: 1.2/18/96 <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Account #� 03292 <br />Facility ID 003713 <br />Service Activity <br />Date Description Hrs Employee Amount <br />Invoice # 034490 -- 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 />12/17j96 2380 UST Permit Fee <br />If this INVOICE has been Paid, Please Disregard this Notice . . . <br />12/17/96 <br />Tank <br /># TA134504 <br />$170.04 <br />Tank <br /># TA134501 <br />$170.00 <br />Tank <br /># TA134502 <br />$170.00 <br />Tank <br /># TA134503 <br />Total for <br />this invoice:$680.00 <br />Payment <br />DUE DATE <br />01/18/9 <br />MENT <br />JAN 3 01997 <br />g% %6.500 ,D(/ 7 7. �SArd JOA()UirqOUiv r <br />PUBLIC HEALTH SERVICES <br />lJ „ „l1 r1wd �I �j� nQ ENV'RONM NTAL HEALTH DIV!SiOr, <br />Com/ L(.c0� ( ( 1 '17 <br />PENALTIES for all FEES for SER E will be ASSESSED <br />PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 104 of the Service Fee <br />at the rate of 1008 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: $680.00 <br />Please Make CHECKS PAYABLE to: 0c1 D --II q:::::: R II If.::1i <br />0 to 30 days 31 to 60 days 61 to 90 days <br />Balance <br />d <br />91 to 110 days ) 120 days Account <br />l <br />