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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMO Page 1 <br /> 304 E W1 :BEk AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0003535 <br /> Facility lD FA0003930 <br /> Date Printed 3/22/2004 <br /> KING ISLAND RESORT RE : KING ISLAND RESORT* <br /> 14900 W HWY 12 11530 W EIGHT MILE RD <br /> LODI, CA 95242 STOCKTON, CA 95219 <br /> OWNER : WESTREC INC <br /> Date Health nm <br /> Pmgram Description <br /> Invoice# IN0118392---Date of Invoice : 3/22/2004 <br /> 3/22/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 4/21/2004 <br /> TOTAL DUE this Billing Period $ 200.00 <br /> PAYMENT <br /> RECEIVED <br /> APR 14 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 /> Penalties will be added to all Permit Fees For OES/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 /> 5255.rpt <br />