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artry dUHutUily toUUN I r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"TRECEIVED 17-'y _ <br /> 304 E WEBER AVE -3RD FLOOR _ �J <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR0017825 <br /> Facility ID F FA0010825 <br /> Date Pnnted 1/30/2006 <br /> LWOMMONEUMMMEMill <br /> VINTAGE PETROLEUM INC RE : VINTAGE PETROLEUM INC <br /> PO BOX 609 2147 W BOWMAN RD <br /> RIO VISTA, CA 94571-1230 STOCKTON, CA 95206 <br /> OWNER : VINTAGE PETROLEUM INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143320—Date of Invoice: 1/2712006 11111111111111111111111 Iju lip 1111111111111111111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoicel $ 224.00 <br /> Payment Due Date 3/1/2008 <br /> TOTAL DUE this Billing Period $ 224.0 <br /> PAYMENT <br /> RECEIVr--p <br /> FEB 1 5 r�oos <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DFPARTMENT <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 OES 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 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 /> 5254.rpt <br />