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SAN JOAQUIN COUNTY <br /> ENUIRC.M", ENTAL HEALTH DEPARTPage 1 <br /> 304 E WEBER AVE -3RD FLOOR to <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR00017-0 4 <br /> LMNOMMMOMMOMA <br /> Facility ID FA0001705 <br /> LEMEMMMMMMIMM <br /> Date Printed 1 2/27/2003 <br /> COSTCO WHOLESALE CORP (TRACY) RE : COSTCO WHOLESALE#38 <br /> 999 LAKE DRIVE 1616 E HAMMER LN <br /> ISSAQUAH,WA 98027 STOCKTON, CA 95210 <br /> OWNER : COSTCO WHOLESALE CORPORATION <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0104115---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 / <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 690.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 907.50 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ 907.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 1 7 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAI 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 />