Laserfiche WebLink
SAN JUM" JIN COUNTY PUBLIC HEALTH SER'J10ES Sta ent Printed : r0�./23/9�6 <br /> E1,0 IrRV NTAL HEALTH DI4'YS�id d <br /> r' 304 'E '' IE:BER AVENUE - 3RD R <br /> PO BOX 386 <br /> S,TOCK,TON , CA 95201-0388 1 [[[ <br /> Accounting Office : . 209 468-3420 <br /> TO : <br /> <br /> <br /> - -. <br /> :Fopv,JARP — : Facility ID 004033 <br /> A T T N ACH Cff�T 6ENN+-TT <br /> / �; 6 96 <br /> RE : TOSCO SUPER T MARKET* <br /> 7647 PACIFIC AVE STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YODR PAYMENT <br /> Service Activity <br /> Hrs Employee Amount <br /> Date Description <br /> Invoice 0 025844 _ Date of Invoice : 01/22 170 . 00 <br /> Tank # TA5e5579 $ <br /> 01. /22/96 2360 UST Permit. Fee Tank 4 TA506681 $170 . 00 <br /> 01 /22/96 2360 UST Permit Fee Tank I4 TA505680 $170 . 0e <br /> 01 /22 /96 2360 L1ST Permit Fee ------------------------ -_----____--- <br /> Total for this invoice: . _ $510 . 00 <br /> Payment DUE DATE 02121/96 <br /> If this INVOICE has been Paid, Please Disregard this Notice . <br /> �.c �. % 'r ;� BAR7 1996 <br /> SAN JOAOUIN CuuNTY . <br /> PU+30C HL AH JH $� VIGE5 <br /> y ¢' LNVIRONMSNT.AL_HEALTH DIVISION <br /> Y. <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> at the rate of 10t of the Service Fee <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS 39 days. after the Payment DUE DATE <br /> at the rate of 1l4t of the Base Fee and EACH 31 days thereafter. <br /> 3O days after the Payment DUE DATE. <br /> TOTAL. DUE; this Billing Period: 5510.00 <br /> Account 1-30 Days 31-60 Days 61-90 Days 91--120 Pays 121-+ Plus <br /> Summary .— 0 . 00 0 . 00 0 . 00 0 . 00 <br /> 510 . e0 <br /> ,a <br />