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ti.e <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 152$2 <br />ENVIRONMENTAL HEALTH DIVISION <br />304 E WEBER AVE — 3RD FLOOR <br />STOCKTON, CA 95202 209-468-3420 <br />c: E <br />Billing <br />T0: THREE PALMS GROCERY Account # Date <br />2891 N ARATA RD 0003669 12/15/97 <br />STOCKTON, CA 95205 ___�__ <br />ATTN: BOZZANO, LINO Facility IO <br />RE: TKEEE PALMS ,GRA-CERY -- <br />6732 E HWY 88 STOCKTON <br />PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br />Health <br />Date Program <br />Description <br />Amount <br />Invoice 4: <br />044245 <br />12/12/97 <br />2301 <br />UST STATE SURCHARGE <br />$8.00 <br />12/12197 <br />2360 <br />Underground Tank Permit Fee <br />$170.00 <br />12/12/97 <br />2360 <br />Underground Tank Permit Fee <br />$170,00 <br />12/12/97 <br />2399 <br />UNIFIED PROGRAM FA'C STATE SERVICE FEE <br />$18.50 <br />�t-E� I Total for this invoice: <br />$366.50 <br />r <br />JAN —'71998 <br />,pAOUrN COUNIN <br />Total Due: <br />$366.50 <br />SAN <br />N O V SION -- <br />ENV RIBLIC, F Payment DUE DATE: <br />0 <br />This INVOICE is for the ANNUAL <br />Environmental Health PERMIT FEES <br />for this FAOILITY <br />[January 1, 1998 to December 31, 1998] <br />If this ACCOUNT has other charges due, <br />a <br />complete monthly ACCOUNT STATEMENT will be <br />sent after December 20th <br />Penalties will be added on all Permits <br />at. the rate of 100% of the Base Fee 30 /,�y <br />"• <br />days after the due date. <br />Please make Checks PAYABLE to: PHS/EHD <br />