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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-465-3420 <br /> INVOICE Account ID AR0003362 <br /> Facility ID FA0002111 <br /> Date Printed 2!5/2002 <br /> BENJAMIN HOLT SHELL RE: SHELL SERVICE STA* <br /> SHELL SERVICE STA* 3011 W BENJAMIN HOLT DR <br /> 3011 W BENJAMIN HOLT DR STOCKTON CA 95219 <br /> STOCKTON CA 95219 OWNER: EQUI.ON LLC ENTERPRISES LLC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> invoice# IN0090513—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/2211002 2362 Underground Storage Tank EH Operating Permit Fee Tank#005 $500.00 <br /> 1/2212DO2 2220 SM HW GEN<5 TONS/YF $200.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operatinp Permit Fee Tank#007 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $125.00 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> Total for this Invoice $997.50 <br /> Payment Due Date ,--V, 002 <br /> TOTAL DUE this Billing Period $997.50 <br /> Please make Checks PAYABLE to: 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 /> PAYIVIEN <br /> RECEIVED <br /> MAR 0 5 2002 <br /> SAN JOAQUIN COUNTS <br /> ENVIRONMENi4ILNEALTH�QIv SION <br /> 5255.rpt <br />