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$AN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report Mo[oo <br /> sLNVrVNMENTAL HEALTH DIVI JN Ste�ment Printed : 04 /22/96 <br /> 3`04E WEBER AVENUE — 3RD �OOR <br /> PO BOX 388 <br /> I <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468-3420 <br /> i <br /> ,T,. r"p r✓ c'y .:1. < ke <br /> TO : SUNNYSIDE PRODUCE (M&K) — <br /> count <br /> PO BOX 433 Ac # 0002636 <br /> THORNTON , CA 95686 _ <br /> ATTN : SUNNYSIDE PRODUCE Facility ID 003073 <br /> I <br /> RE : SUNNYSIDE PRODUCE ( M&K ) <br /> s . 8960 W WALfJUT,..6R0,V.E ._RD __TH.QBNT—O —.— <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity — <br /> Date Description Hre Employee Amount <br /> Invoice # 025569 -- Date of Invoice: 01/22/96 <br /> 01/22 /96 2380 UST Permit Fee Tank # TA175201 $170 . 00 <br /> 01/22/96 2380 UST Permit Fee Tank # TA175202 $170 . 00 <br /> 01 /22/96 2380 UST Permit Fee Tank # TA175203 $170 . 00 <br /> 03/21/96 PENALTY $510 . 00 <br /> 04/06/96 PAYMENT $-170 . 00 <br /> 04 /06 /96 PAYMENT $-170 . 00 <br /> 04 /06/96 PAYMENT - $-170 . 00 <br /> ------------------------------------- <br /> Total <br /> -------------------------------- <br /> Total for this invoice : $519 . 00 <br /> Payment PAST DUE <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT <br /> ' RFr�=geatGTA <br /> MAY 2 2 1996 <br /> SAN JOACLii,' <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMITS at the rate of lot of the Service Fee <br /> at the rate of 160% of the Base Fee 30 days after the Payment DUE DATE <br /> 31 days after the Payment DUE DATE. and EACH 31 days thereafterAPIUS TOTAL DUE this Billing Period: <br /> Account 1-30 Days 31-60—DDays_— 61-90 Days 91-120 . DaysSummary0 . 00 @ . @@' 510 . 00 0 . 00 0 . 00 <br />