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From:J Allen Beebe Tcf4640138 05/10010 15:04 #763 P.001/001 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT / {, ,r O I Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 J_ <br /> Phone: )209)468-3420 <br /> _ Account lD i AR66-3 4 <br /> L C l E D �— i FA0020087 <br /> Facility ID <br /> TV MAY 12 2010 --- — <br /> DatePnnted 3/31/2010 <br /> E'VR0i',P,1ENT HEALTH <br /> JACAB CORP NA" /)F;""C i_ RE : 7-ELEVEN #39208 <br /> 7-ELEVEN #38208 (J�1J 10Th �fi. <br /> S 1 25460 SCHULTE RD <br /> E54603CMtltfif RD M(,VFsN TRACY, CA 95377 <br /> TRACY 81k-98377 I� <br /> q 5 35 4 OWNER: BEEBE, J ALLEN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0201197--Date of Invoice: 2r2=10 NIINIIIIIIIIIIIIIINBIINIIIIInINNIIIIIIIIIUIIIIIIIIIYIIIIIIIIIIIHIIII <br /> 2/22/2010 2220 SM HW GEN<5 TON SNR $ 213.00 <br /> 2/22/2010 2832 AST FAC 10 K-d=100 K GAL CUMULATIVE $ 337,00 <br /> Total for this Invoice $ 550.00 <br /> Payment Due Date 312412010 <br /> TOTAL DUE this Billing Period $ 550.00 <br /> NNOTa <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Parrett Fees For DES I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties Wil be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />