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SAN Jt1A96IN. COUNTY PUBLIC OMALTH SERVICES Report #5201 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 445 N SAN JOAQUIN <br /> PO BOX 2009 <br /> STOCKTON, CA 95201 209-468-0340 <br /> 1 FV 41A Cl I C E <br /> Invoice # Date <br /> TO. SHELL 'OIL COMPANY ING <br /> <br /> // <br /> ATTN: HSRI_ ADMIN SUPPORT ((�/�)l�. � y// <br /> y— 4/ Facility iit y ID <br /> RE; BENJAMIN HOLT SHELLmma�ll, �jj <br /> B0%-JAM'I1qT Dff <br /> "ifiOL --`S r0CN TON <br /> 4 i7.c y <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT. <br /> Health <br /> Date- Program`Description _ �' + ,tif Amount <br /> 0:3/11/94 11 Underground Tank Permit Fee 76TY0 170. 00 <br /> 03/11/94 :3315 Underground Tank Permit Fee fro? 170. 00 <br /> 03/11/94 2315 Underground Tank Permit Fee O({ $ 170. 00 <br /> 03/11/94 2315 Underground Tank Permit Fee QST 170,00 <br /> Total forthis invoice : 680.00 <br /> +E • * NOTICE <br /> This is a REVISED INVOICE. <br /> If yDureceived an Invoice for UST. Tankfees DATED-2;/8;'94,- <br /> Please disregard that INVOICE and pay thig 'REVISED INVOICE ame.unt . <br /> We sincerely apologize for any inconv :ience. <br /> Pecel <br /> SHIN qAQ IN C <br /> OLIN <br /> EN ALT'WEN Al HEASERVICES ON <br /> PENALTIES on all PERMITS FEES will be assessed at the rate of 100% <br /> of the Base Fee amount 60 days after the INVOICE DATE <br /> 1 �0 Day s1-60 Days 61-90 Days 91 120 Da sy r 121+ Plus Amount llue <br /> 680. 00 0. 00 0. 00 0. 00 0. 00 $ 680. 00 <br /> PENALTIES for all SERVICE FEE billing will be assessed at the rate of <br /> 10% of the unpaid Invoice Balance 60 days after the INVOICE DATE and <br /> each 30 days thereafter <br />