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SAN JOAQUIN COUNTY PUBLIC",EALTH SERVICES <br />ENVIRONMENTAL HEALTH OIVI'�N <br />445 N SAN JOAQUIN STREET <br />PO BOX 388 <br />STOCKTON. CA 95201-0388 <br />Accounting Office: 209 468-0340 <br />\ TO: THREE PALMS GROCERY <br />2891 N ARATA RD <br />STOCKTON, CA 95205 <br />ATTN: BOZZANO, LINO <br />RE: THREE PALMS GROCERY <br />6732 E HWY 88 STOCK—TON -- - <br />PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br />Date Description <br />J <br />Report #6255 <br />Account # 0003669 <br />FacilFacility ID 004030ID 004039 <br />ity <br />Date: 01/11/95 <br />Service Activity <br />Hrs Employee Amount <br />Invoice # <br />017155 -- Date of Invoice: <br />01/11/95 <br />91-1,20 Days <br />01/11/95 <br />2360 Underground Tank Permit <br />Fee /8 3 0d Z <br />$170.00 <br />01/11/95 <br />2360 Underground Tank Permit <br />Fee /g 3 0 D 5 <br />$170.00 <br />------------------------------- <br />Total for this invoice: <br />5340.00 <br />If this INVOICE has been Paid, Please <br />Disregard this Notice . . . <br />. . . and DEDUCT the Amount <br />Paid from the TOTAL DUE <br />/p< pr, ocft: 3k3 PAYMENT <br />RECEIVED <br />a JAN 1 9 1995 <br />�(l' SRN JOAQUIN COUNTY <br />PULI4 HEALTH SERVICES <br />F`� ENVIRONMENTAL HEALTH DIVISION <br />Account <br />Summary <br />4 • <br />Penalties will be added on all PERMIT FEES <br />at the rate of 1008 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 108 <br />60 days past the invoice date and <br />each 30 days thereafter. <br />1-30 Days <br />31-60 Days <br />61-90 Days <br />91-1,20 Days <br />121+ PIu s <br />340.00 0.00 0.00 0.00 <br />N i <br />11/ <br />