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SAN J0A0UIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH OIVI� N St,-- vent Printed ; 02/25/99 <br /> E WEBER AVENUE — 3RD .OR <br /> STOCKTON , CA 95202 ' <br /> Accounting Office : 209 468-3420 <br /> ` <br /> TO : PACIFIC AVE SHELL <br /> 6131 PACIFIC AVE Account # 0003361 <br /> STOCKT0N , CA 86287 <br /> ATTN : PACIFIC AVE SHELL lia�ci lity ID 89H4:] <br /> RE : PACIFIC AVE SHELL <br /> pACIFTC AVE <br /> STOCKTON <br /> yi[A0 RETURN u COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 054034 -- Date of Invoice: 01/28/99 <br /> 01 /28/99 2360 LIST Permit Fee Tank # TA122304 *270 . 00 <br /> 01/?8/99 2360 UST Permit Fee Tank 0 TA122305 $170 . 00 <br /> 01 /28 /99 2360 UST Permit Fee Tank # 7A122306 $170 . 00 <br /> 01/28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> ___—_____________—_____—__ <br /> Total for this invoice : <br /> If thblNY0CE has been PoN. ploom 0iom8ord this Notice <br /> /19 <br /> Pm�xmm.~"~ " <br /> N�h�77 <br /> P � <br /> =������ <br /> h8�� � ���� <br /> —� �� _ '--~ <br /> ErNiCES <br /> For aU S[NDC[ FEES p*noytim will <br /> Penalties will be added on all Permits he added at the rate of 0t 60 days <br /> at the rate of 100% of the 0000 Hn" 31 past invoice date and each 38 days <br /> day� after the duo dote. thereafter. <br /> TOTAL DUE this Billing Period; <br /> —~ <br /> Please make Checks PAYABLE to: pHS/EHU <br />