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SAN JOAQUIN COUNTY PUBLIC HFALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E WEBER AVE — 3RD FLOOR <br />STOCKTON, CA 96202 209--468-3420 <br />Report 15252 <br />Billing <br />PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br />Health <br />Date Program Description Amount <br />Invoice #: <br />044076 <br />Account # Date <br />TO: CHEVRON USA <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Fee <br />12/12/97 <br />2380 <br />Underground <br />Tank <br />Permit <br />ATTN: KATHY MORRIS/PERMIT DESK <br />12/12/97 <br />2380 <br />Facility ID <br />Tank <br />11 <br />Fee <br />12/12/97 <br />RE: CHEVRON #95775 MCCOMBS* <br />�k <br />Tank <br />003713 <br />301.-- W KETTLEMAN--LN <br />LODI <br />- <br />UNIFIED PROGRAM <br />PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br />Health <br />Date Program Description Amount <br />Invoice #: <br />044076 <br />12/12/97 <br />2380 <br />Underground <br />Tank <br />Permit <br />Fee <br />12/12/97 <br />2380 <br />Underground <br />Tank <br />Permit <br />Fee <br />12/12/97 <br />2380 <br />Underground <br />Tank <br />Permit <br />Fee <br />12/12/97 <br />2380 <br />Underground <br />Tank <br />Permit <br />Fee <br />12/12/97 <br />2399 <br />UNIFIED PROGRAM <br />FAC STATE SERVICE FEE <br />$170.00 <br />$170.00 <br />$170.00 <br />$170.00 <br />$18.50 <br />Total for this invoice: — $698.50 <br />Total Due: 7$698.50 <br />Payment DUE DATE:12/9 <br />This INVOICE is for the ANNUAL <br />Environmental Health PERMIT FEES <br />for this FACILITY <br />[January 1, 1998 to December 31, 1998] <br />If this ACCOUNT has other charges due, PANryAAE,,NT <br />a complete monthly ACCOUNT STATEMENT will be � ECiEHi� 'ED <br />sent after December 20th <br />JAN 12 1998 <br />Penalties will be added on all Permits SAN JOAQUINCOUN7Y <br />at the rate of 100 of the Base Fee 36 PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />days after the due date. <br />Please make Checks PAYABLE to: PHS/EHD <br />r <br />