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SAN JOAOUIN COUNTY �/ SS/ �..� Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT 1a') <br /> 304E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> F"� 2 2002 <br /> INVOICE -- _ Account ID AR0017825 <br /> Facility ID FA0010825 <br /> Date Printed 2/6/2002 <br /> SHARON E SHELTON RE: VINTAGE PETROLEUM INC <br /> VINTAGE PETROLEUM INC 2147 W BOWMAN RD <br /> PO BOX 609 STOCKTON CA 95206 70 <br /> RIO VISTA CA 94571 <br /> OWNER: VINTAGE PETROLEUM INC <br /> Health ,�//� <br /> Data Program Description � /, Hrs Employee Amount <br /> Invoice# IN0092219—Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Total far this Invoice $217.50 <br /> Payment Due Date 3W!002 <br /> TOTAL DUE this Billing Period §217.50 <br /> Please make Checks PAYABLE to: EHD / Retbm a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the 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 />