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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTA 'T _ <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 4' <br /> INVOICE '' <br /> Account ARoo,ssas <br /> LOMOMMMMMMEMA <br /> Facility ID FA0009 885 <br /> Date Pnnted F 2/27/2003 <br /> ACE OIL CO RE : ACE OIL CO <br /> 20 S CLUFF AVE 20 S CLUFF AVE <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : JOHN CROOKS <br /> Date Health Amount <br /> P,oyom Description <br /> invoiceill! IN0103625—Date of Invoice: 212712003 <br /> 2/27/2003 2220 SM HVV GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 115.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 332.50 <br /> Payment Due Date 3/1,9/2QO3 <br /> I <br /> TOTAL DUE this Billing Period S. 332.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 1 9 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 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 Days thereafter <br /> 5255.rpt <br />