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SAN JOAOUIN COUNTY PUBLIC WLTH SERVICES • Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0017389 <br /> FA0010389 <br /> Facility ID Lmonommommomma <br /> Date Printed r 2/1/01 <br /> LIENEEMENINEWEVEMA <br /> AL TASSANO RE : WESTERN RADIATOR SVC OF LODI <br /> WESTERN RADIATOR SVC OF LODI 12 S CLUFF AVE <br /> 1780 E ROOSEVELT ST LODI CA 95240 20 . <br /> STOCKTON CA 95205 OWNER: TERALT INC <br /> Health <br /> Date Program Descriptor; Hm Employee Amount <br /> Invoice# IN0080631 ---Date of Invoice: 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoicel $110.00 <br /> Payment Due Date 313/2001 <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 /> 1=,1Yry".E sdT <br /> RECEIVED <br /> FEB 2 6 2001 <br /> e�- a^i <br /> 5255.rpt <br />