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SAN JOAQUIN COUNTY PUBLIC '1EALTH SERVICES Report 1525S <br /> ENVIRONMENTAL HEALTH DIVI�/N SL'a�nent Printed : 01/29 /99 <br /> 904-AMEBER AVENUE — 3RD FLOOR <br /> S10*rON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> i <br /> Z r-a v e-P :i t az <br /> TO: SHELL SERVICE STA"' .-� _� <br /> <br /> <br /> J� <br /> ATTN : BEhTJAMIN HOLT SHELL Facility 002111 <br /> RE : SHELL SERVICE STA' <br /> 3011 W BENJAMIN HOLT DR _ <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee — Amount <br /> Invoice # 054025 -- Date of Invoice : 01/28/99 <br /> 01 /28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 01 /28/99 2315 UST Permit Fee Tank # TA188305 $170 . 00 <br /> 01 /28/99 2315 UST Permit Fee Tank # TA505960 $170 . 00 <br /> 01 /28/99 2315 UST Permit Fee Tank # TA505959 $170 . 00 <br /> -- --- <br /> DUE DATE 1/9 <br /> P"IWENT Total for this invoice : =620 .00 <br /> If this INVOICE has been Paid, r4lse DisrArd,tri&trce/ Pa <br /> P"IWENT <br /> MAR - 1 1999 <br /> �-- -- <br /> SAN JOAOIAN <br /> NT" HcntTH/DI ISION <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 18% 61 days <br /> at the rate of 111% of the Base Fee 34 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $520 . 00' <br /> Please make f01imcks PAYABLE to: PHS/EHD <br /> 1>✓ NOW <br />