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S4,R1OAQUIN COUNTY PUBLIC HF&TH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DIVISIW <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0003673 <br /> Facility 1 FA0004033 <br /> LUMOMMMMMMMIM <br /> Date Printed4/24/00 <br /> LUMMOMMMOOMMIN <br /> <br /> <br /> <br /> OWNER: TOSCO NORTHWEST CO <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069647---Date of Invoice: 4/19100 <br /> 4/19/2000 2301 UST STATE SURCHARGE $24.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#005 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $544.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Period 544.00 <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 /> MAY 1120 <br /> C <br /> PUEUCBE T9E <br /> H m DIVV ieloN <br /> ENVIRONMENTAL HFAL <br /> 5255.rpt IkN 40 <br />