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r.H 0 A I r4l <br /> T C' <br /> V R 0 N I".'F.N1 7 A L T H i <br /> N J 0 AU 1 5,-1 R E E <br /> #� o Box !�3EI <br /> S TO C K TO N 1. CA 9201--0388 <br /> A C C 0 U 11 t i 11 g Office : 20S 4 0.3A0 <br /> TO : PACIFIC COAST PRODUCERS <br /> PO BOX 159 IAccount 47 0000540 <br /> LODI , CA 95240 <br /> ATTN : PACIFIC COAST PRODUCERS Facility :ID 0 @ 0 5 4 1 <br /> RE : PACIFIC COAST PRODUCERS Billing Date : 01 /11 /95 <br /> 835 S STOCKTON ST LODI <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Firs Employee Amount <br /> Invoice # 016800 -- Date of Invoice : 01111/95 <br /> 01/11 /95 2360 Underground Tank Permit Fee 18870:5- $170 . 00 <br /> 01 /11/95 2360 Underground Tank Permit Fee 1897L)b . 00 <br /> ----------------------------- <br /> Total for this invoice : 40 . 00 <br /> If this INVOICE has been Paid , Please Disregard this Notice <br /> and DEDUCT the Amount Paid from the TOTAL DUE <br /> PAY'WENT <br /> RECEIVjED <br /> JAN 10 1,q95 <br /> SAN JOAOUIN CofjiNTy <br /> PUBLIC HEA ' <br /> ENVIRONME�j-j_ �'LHTtA F"rP'V'CF'-S <br /> EALTH <br /> Penalties will be added on all PERP1IT FEES <br /> at the rate of 100% of the Base Fee <br /> 60 days after the invoice date . <br /> For all SERVICE FEES penalties will <br /> be added at the rate of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period : <br /> 30 Day Dais 61 90 Days. 9 1-12 <br /> 3 r 121+ Plus <br /> 31 <br /> 1-6 y C <br /> Account 0 D, <br /> Summary <br /> 340 . 00 <br />