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SAN JOAOUIN COUNTY `� � V Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT J <br /> 304 E WEBER AVE-3RD FLOOR i r L 7` ' <br /> STOCKTON. CA 95202 R[7C L'-, V-F- <br /> Phone: <br /> Phone: 209-468-3420 FEB - 7 2002 <br /> INVOICE BY:_- -- Account ID AR0017824 <br /> Facility ID FA0010824 <br /> Date Printed 2/6/2002 <br /> SHARON E SHELTON RE: VINTAGE PETROLEUM INC <br /> VINTAGE PETROLEUM INC 12350 S CROCKER RD <br /> PO BOX 609 STOCKTON CA 95206 70 <br /> RIO VISTA CA 94571 OWNER: VENTAGE PETROLEUM INC <br /> Health A l <br /> Dale Program Description /l Hrs Employee Amount <br /> Invoice# IN0092218--Date of Invoice: 112212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Totalforthis Involcel $217.50 <br /> Payment Due Date 3/812002 <br /> TOTAL DUE this Billing Period $217.50 <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 thereafter <br /> PAYMEN <br /> RECFi rr; <br /> FEB 2 5 2002 <br /> SAN JO <br /> pn„ <br /> 5255.rpt <br />