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SAN JOAQUIN COUNTY Page 1 <br />ENVIRONMENTAL HEALTH DEPARTMIO • <br />304 E WEBO2 AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />Account ID AR 0-02341 <br />Lf x`51 (� c INVOICE <br />` <br />Facility ID FA0002327 <br />LMMMMMEMMMONA <br />Date Printed 2/5/2004 <br /> <br /> <br /> <br />Health <br />Deie Program Description <br />Q/t <br />Invoice # IN0115729 --Date of Invoice : 2/4/2004 5I'1'\ _ n � <br />2/4/2004 2220 SM HW GEN <5 TONS/YR (�Y,J� <br />2/4/2004 2244 2004 HAZMAT FEE <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />RE: STOCKTON GOLF & COUNTRY CLUB <br />3800 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />OWNER: STOCKTON GOLF & COUNTRY CLUB <br />UaLafdous <br />aiCcs Cu f a, <br />54w1"61rl"4+1cj A <br />Total for this Invoice <br />Amount <br />$ 200.00 <br />$ 345.00 <br />$ 24.00 <br />15_569 00 <br />Payment Due Date 31612004 <br />TOTAL DUE this Billing Period $ 569.00 <br />fyw4ft Oil <br />PAYMENT' <br />RECEIVED <br />FEB 1 7 2004 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />For all SERVICE FEES <br />Penalties will be added to all Permit Fees For DES / HMMP Fees Penalties will be added at the Rate of 10% <br />30 Days after the Due Date Y <br />at the Rate of 100% of the Base Fee Penalties will added the Rate of 10 <br />45 Days after the Invoice Date 60 Days after the Invoice Dale and each 30 Days tt <br />