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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DIVISION Statement Printed : 12/18/96 <br /> 304 —E.. WEBER AVENUE — 3RD FLOOR <br /> PO BOX 388 <br /> STOCKTON . CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> 1E F-1 N., CY 1. C6 <br /> TO: SHELL OIL COMPANY INC <br /> 1390 WILLOW PASS RD ST 900 Account # 0003344 <br /> CONCORD , CA 94520 vj gAY D1ST' <br /> ' ` <br /> ATTN: HS&E ADMIN SUPPORT/JOHN KOCH 7 �ggg Facility ID 003765 <br /> DSC 2 <br /> RE: SHELL OIL COMPANY* <br /> 1313 E CHARTER WY STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 034526 -- Date of Invoice : 12/17/96 <br /> 12/17/96 2380 UST Permit Fee Tank # TA104901 $170 . 00 <br /> 12/17/96 2380 UST Permit Fee Tank # TA104902 $170 . 00 <br /> 12/17/96 2380 UST Permit Fee Tank # TA104903 $170 <br /> Total for this invoice : 510.0 <br /> Payment DUE DATE 01/18/97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> WCEIVEn <br /> JAN 211997 <br /> SAN JOAQUIN COUNTY <br /> 'L811C HEALTH SERVICES <br /> ENVIRCNMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of 11% of the Service Fee <br /> at the rate of 111E of the Base Fee 30 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 : X510. 00 <br /> Please Make CHECKS PAYABLE to : F= Neil ^a dF 1'i 1-A A-) <br /> $510 . 00 $0 . 00 $0_ 00 $0 . 00 $510 . 00 <br /> 1 to 30 days 31 to 61 days 61 to 91 days 91 to 121 days ) 121 days Account <br /> Balance <br />