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SAN JOAQ13IN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIE ONMENTAL HEALTH DIV/ ' '`AN <br /> 445 N SAN JOAQUIN" STREET <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 <br /> Accounting Office : 209 468--0340 <br /> c c:: c a I...: t -:::: w'; It -e 't: *B�rn c.,:! r-'1 <br /> TO : SHELL OIL COMPANY INC _ FA <br /> PO BOX 4023 � r � cco:unt # 0003361 <br /> CONCORD , CA 94524 <br /> ATTN : HS&E ADMIN SUPPORT \��� + Facility ID 002324 <br /> RE : PACIFIC AVE SHELLBilling Date : 01 /11/95 <br /> 6131 PACIFIC AVE STOCKTON <br /> qy L>1 <br /> PLEASE RETURN THIS STA�ENENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> )Y"� <br /> Invoice # 016846 -- Date of Invoice: 01/11/95 X <br /> 01 /11/95 2360 Underground Tank Permit Fee I �-�'3� $170 . 00 <br /> .01/11/95 2360 Underground Tank Permit Fee $170 . 00 <br /> 01 /11 /95 2360 Underground Tank Permit Fee $170 . 00 <br /> Total for this invoice : $510.00 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . and DEDUCT the Amount Paid from the TOTAL DUE <br /> 4 <br /> Penalties will be added on all PERMIT FEES <br /> at the rate of 100% of the Base Fee <br /> 60 days after- the invoice date . <br /> For all SERVICE FEES penalties will <br /> be added at the rate of 10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period: $510. 00 <br /> Account 1-30 Days 31-60 pays 61--90 Days 91-12.0 Days 121+ Plus <br /> Summary ��� -- :_-1 <br /> 510 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br />