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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />EUVSR'INMENTAL HEALTH DIV ON <br />34 E WEBER AVENUE — 3RD OOR <br />SiOCKTON, CA 95202 <br />Accounting Office: 209 468-3420 <br />TO: THREE PALMS GROCERY* <br />2891 N ARATA RD <br />STOCKTON, CA 95205 <br />ATTN: BOZZ4NO, LINO <br />RE: THREE PALMS GROCERY* <br />— <br />6-7-9-a f — HW Y--8.8 — — <br />STOCKTON <br />Report #5255 <br />St pment Printed: 01/29/99 <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Account # 70003669 <br />Facility�ZD 004030 <br />Service Activity <br />Date Description Hrs Employee Amount <br />Invoice # <br />054256 -- <br />Date of Invoice: <br />01/28/99 <br />01/28/99 <br />2360 UST <br />Permit Fee <br />Tank # TA183002 <br />$170.00 <br />01/28/99 <br />2360 UST <br />Permit Fee <br />Tank # TA183005 <br />$170.00 <br />01/28/99 <br />2399 UNIFIED PROGRAM FAC STATE <br />SERVICE FEE <br />$10.00 <br />01/28/99 <br />2301 UST <br />State Surcharge Fee <br />Tank # PR507708 <br />$8.00 <br />Total for this invoice: <br />88.00 <br />Payment DUE BATE <br />03/01/ <br />If this INVOICE <br />has been Paid, <br />Please Disregard this Notice <br />L <br />Penalties will be added on all Permits <br />at the rate of lift of the Base Fee 31 <br />days after the due date. <br />,PAYMENT <br />MAR 31999 <br />PUA" j"r:NV 11t�LNTY <br />ENvmcO HTA LTH a=RVICES <br />HEALTH o!VI310N <br />For all SERVICE FEES penalties will <br />be added at the rate of lit it days <br />past invoice date and each 31 days <br />thereafter. <br />TOTAL DUE this Billing Period: <br />Please make Checks PAYABLE to: PHS/EHD <br />l..i I..d <br />$358.00 <br />