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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF-'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR .s <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountID AR0017824 <br /> Facility ID FA00 00 2-4 <br /> Date Printed 3/1/2004 <br /> VINTAGE PETROLEUM INC RE : VINTAGE PETROLEUM INC <br /> PO BOX 609 12350 S CROCKER RD <br /> RIO VISTA, CA 94571-1230 STOCKTON, CA 95206 <br /> OWNER : VINTAGE PETROLEUM INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0116324--Date of invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> PAYMEN <br /> RECEIVED <br /> MAR 1 ?0('4 <br /> SAN JOAQUIN COUNiY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> rpt <br />