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11/18/2003 15:17 4640138 ENVIRONMENTAL HEALTH PAGE 03 <br /> • <br /> 6XS and 6BT• 200 647 0929 1jW03 04:67Pm P. 00%3 <br /> SAN JOAQUIN COUNTY P4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE•3RD FLOOR RECEIVED <br /> STOCKTON, CA 95202 NOV 1 $ Zn� <br /> Phone: (209)468-3420 <br /> INVOICE ;aa4ra.eurWulNGUUNIY A n110 AR0025632 <br /> FFiGE OF EMERGENCY SERVIGi- <br /> FaGltty Ill FA0014999 <br /> Date PMlad 10/27/2003 <br /> GOLDEN BEAR <br /> RE: GOLDEN BEAR <br /> 2969LRD <br /> 2969 LOOMIS RD STOCKTON, <br /> CAA <br /> 95205 <br /> STOCKTON,CA 95205 STO <br /> OWNER: GREG MASTERSON <br /> Hvelth AMOUN <br /> Date Program Deacrlphon <br /> Invoice M IN0112332—Date of Involve� 10Yl712003 5 425.00 <br /> 10727!2003 2244 2003 HAZMAT FEE PLUS 4 YEARS BACK BILLING revt tormN Invoke S 425.00 <br /> payment Due Date 11126/2003 <br /> TOTAL OUE this Sllling POHod ¢ 425.00 <br /> please make Checks PAYABLE tw 'FHD' — Return a Copy of Thla STATEMENT with Your PAYMENT <br /> For OES I HMMP Foes For all SERVICE FEES <br /> penalties will ha added to all Permit Fees penahlas will be added at the Rate of 10% <br /> I at the Rate Of 100%of the Base Fae Penalty Uaysbaftc the larn h D to e Rate f 10X 60 DAYS after the Invoice onto and each 30 Days thereaft' <br /> JO Days after the Due Date <br /> 5255.ryt <br />