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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES,_ Report #5255 <br /> ENVIRONMENTAL HEALTH DIVISIF <br /> 445 IV 4AN JOAQUIN <br /> PO BOX 2009 <br /> STOCKTON, CA 95201 209-468-0340 <br /> Y=Y c c- o. c.t n -t 8-t a t e m e n -t <br /> Account # Date <br /> TO: EXXON COMPANY USA / � ^�� <br /> <br /> i <br /> ATTN: EXXON COMPANY USA Facility ID <br /> RE: EXXON COMPANY USA 00409 <br /> 6425 PACIFIC AVE STOCKTON <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYW PUICE1 y ED <br /> MAY 2 3 1994 <br /> IrHealth MAIYTEWI� E&CoMPLWVCE <br /> Date Program Description sU, n"hT Amount <br /> Previous Balance 0. 00 <br /> Invoice #008455 -- Date of Invoice: 03/11/94 <br /> 03/11/94 2360 Underground Tank Permit Fee Lai 1OL' 170. 00 <br /> 03/11/94 2360 Underground Tank Permit Fee o S 1'70. 00 <br /> 03/11/94 2360 Underground Tank Permit Fee 06 17 <br /> Total for this invoice : 510. 00 <br /> Invoice #009148 -- Date of Invoice: 03/25/94 <br /> 03/25/94 State Levied Tank Surcharge 56. 00 <br /> 03/25/94 State Levied Tank Surcharge 56. 00 <br /> 03/25/94 State Levied Tank Surcharge <br /> Total for this invoice : 168. 00 <br /> PAYMEN - <br /> RECEIVED <br /> MAY 3 1 1994 <br /> SAN JOA%giN COUNTY , <br /> PU9LI��1 �1LTHk"V1Ea <br /> ENVI�Q��MLNTd�!b€A�ib®14161CPI <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 /> 1-30 <br /> sli <br /> 31-60 Days 61-90 Days11 91-120 Days1'21+ Plus Amount Due <br /> 0. 00 168. 00 510. 00 0. 00 0. 00 $ 678. 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 />