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Page 1 <br /> SAN JOAQUIN COUNTY PUBLIC HE^XH SERVICES 1�v <br /> ENVIRONMENTAL HEALTH DIVISIu <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202' <br /> 209-468-3420 <br /> INVOICE Account I AR0007aso <br /> Facility I FA0002405 <br /> Date Printed 4/27/00 <br /> 7-1 <br /> LMEMMMMMMON <br /> MAHMOOD,KHALID RE: QUICK N SAVE MARKET AND GAS* <br /> MAHMOOD,KHALID 641 E CHARTER WY <br /> <br /> OWNER: MAHMOOD,KHALID <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0065236---Date of Invoice: 10/22199 <br /> 7/15/2000 9994 PERMIT FEE PENALTY $850.00 <br /> 10/22/1999 2380 Underground Storage Tank EH Operating Permit Fee $850.00 <br /> 10/22/1999 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice 1,710.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period 1,710.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will added to all PermitFees— For all SERVICEF <br /> EES <br /> atthe Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> 5255.rpt <br />