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SAN JOAQUIN COUNTY <br /> ENVIRCINMENTAL HEALTH DEPARTM Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0021134 <br /> Facility ID F FA0012697 <br /> LINESIMMMMEWMA <br /> Date Pnnted 1 2/27/2004 <br /> CALIFORNIA WATER SERV STA 68 RE : CALIFORNIA WATER SERVICE STA 68 <br /> CALIFORNIA WATER SERVICE STA 68 BIANCHI RD <br /> 1550 W FREMONT ST STE 100 STOCKTON, CA 95204 <br /> STOCKTON, CA 95203 <br /> OWNER : CALIFORNIA WATER SERVICE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0116208---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total(or this Invoice $ 74.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period S 74.00 <br /> PAYMENT <br /> RECEIVED <br /> APR 12004 <br /> SP.N JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/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 will 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 /> 5255.rpt <br />