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SAN JOAQUIN COUNTY PUBLIC Hr,LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVI>`;; „r/ <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0003362 <br /> LMOMMMMMMEMME <br /> Facility 14--FA-0-0-02-11 T <br /> Date Printed4/24/00 <br /> BENJAMIN HOLT SHELL RE: SHELL SERVICE STA* <br /> SHELL SERVICE STA* 3011 W BENJAMIN HOLT DR <br /> <br /> OWNER: EQUILON LLC ENTERPRISES <br /> Health <br /> Date Program "Descrtpiron - - Hrs Employee Amount <br /> Invoice# IN0069365---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2301 UST STATE SURCHARGE $16.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#005 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $636.00 <br /> Payment Due Date 5/2412000 <br /> TOTAL DUE this Billing Period $636. 0 <br /> Please make Checks PAYABLE to: PHS/EBD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be addedto all Permit Fees Fora SERVICE FEES <br /> at the Rate of 100%ofthe Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> .r � eE) <br /> MAY 1120 <br /> SAN JOAOUIN CWNIy <br /> Pl16UC HEALTH SEFMCE6 <br /> F.IJVIRONMEP41A1_HEALTH DI WI- <br /> 5255.rpt 1A011' <br />