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SAN JOAOI JIN COITNTY PI JBI,TC dki,TH SERVICES • Page <br /> F,NVIRONMENTAI,HEALTH DIVISION -� <br /> 304 F,WEBER AVE,-3RD FLOOR <br /> STOCKTON. CA 95202 f� <br /> 209-468-3420 1�AR 1 '� Zp01 <br /> INVOICE TAX �EpT' AccountlD AR0016781 <br /> FA0009781 <br /> Facility ID Losmmmosminmazag <br /> Date Printed 2/28/01 <br /> 3E COMPANY RE : HOMEBASE#33 <br /> HOMEBASE#33 1880 E HAMMER LN <br /> 3345 MICHELSON DR STOCKTON CA 95210 20 <br /> IRVINE CA 92715 OWNER: HOMEBASE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080129--Date of Invoice : 1130101 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Involcel 00 <br /> Payment Due Date 3/2/2001 <br /> TOTAL DUE this Billing Period $110.0 <br /> Please make Checks PAYABLE to: PHS/END / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERNCE FEES <br /> at the Rate of 100%of the Base Fee Penalties still be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days afterthe Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 3 2001 <br /> SAN JOAQOIN COUNTY <br /> PUBLIC REALIH SEROCFS <br /> ENVIKN;br':-.-c u. <br /> 5255.rpt <br />