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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE �.r Y4N Account ID AR0020750 <br /> FA0012578 <br /> Facility ID <br /> Date Printed <br /> CHET FERRIS RE: CHETS AUTO <br /> CHETS AUTO 545 E MINER AVE <br /> 24401 N SUTTENF[ELD RD <br /> STOCKTON CA 95220 <br /> ACAMPO CA 95220 OWNER: FERRIS,CHET <br /> Health <br /> Date Program Description <br /> Hrs Employee Amount <br /> invoice;V IN0075091 ---Date of invoice: 813100 $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1996)$ 170.00 <br /> 8/3/2000 9900 UST TANK FEES (1996 $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1996) $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1997) $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1997 $170.00 <br /> 813/2000 9900 UST TANK FEES (1997 $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1998) $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1998) $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1998) $170.00 <br /> 8/3/2000 9900 UST TANK FEES (1999) $170.00 <br /> 813/2000 9900 UST TANK FEES 1999 $170.00 <br /> 8/3/2000 9900 UST TANK FEES 1999 $170.00 <br /> 8/3/2000 9900 UST TANK FEES 2000 $170.00 <br /> 8/3/2000 9900 UST TANK FEES 2000 $170.00 <br /> 8/3/2000 9900 USTTANKFEES 2000) $510.00 <br /> 8/3/2000 9904 UST PENALTIES(TANK) (1996) $510.00 <br /> 8/3/2000 9904 UST PENALTIES(TANK) (1997) $510.00 <br /> 8/3/2000 9904 UST PENALTIES(TANK) (1998 $510.00 <br /> 8/3/2000 9904 UST PENALTIES(TANK) (1999 $510.00 <br /> 8/3/2000 9904 UST PENALTIES(TANK) (2000 <br /> Total for this Invoice $5,100.00 <br /> Payment Due Dale 912/2000 <br /> Invoice# IN0075092---Date of Invoice: 813100 <br /> $24.00 <br /> 8/3/2000 2301 UST STATE SURCHARGE $10.00 <br /> 8/3/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $34.00 <br /> 1'a ment Due Date 9/212000 <br /> TOTAL DUE this Billing Perlodi $5,134.00 <br /> Please make Checks PAYABLE to: PIIS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For ell SERVICE FEES <br /> at the Rale of 100%of the Base Fee Penalties will be added at(lie Rate of 10 <br /> 30 Days afterthe Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 5255.rpt 0 ' <br />