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SANJOAQUIN COUNTY PUBLIC �'�,ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DI. .ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016961 <br /> Facility ID FA0009961 <br /> Date Printed 3/13/01 <br /> ARTHUR A JAIME RE : CALIFORNIA STATE BLDG <br /> CALIFORNIA STATE BLDG 31 E CHANNEL ST# 108 <br /> 31 E CHANNEL ST#108 STOCKTON CA 95202 20 <br /> STOCKTON CA 95202 OWNER: CALIFORNIA STATE BLDG <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080275---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3 /2001 <br /> TOTAL DUE this Billing Period 110.00 ) <br /> Please make Checks PAYABLE to: PHS/EHD / Return 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 /> R1=6EIVED <br /> MAR 13 2001 <br /> 5255.rpt <br />