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SAN JOAOUIN COUNTY PUBLICALTH SERVICES Page 1 <br /> L; <br /> ENVIRONMENTAL HEALTH I GON <br /> 304 E WEL3IERAVE-3RD FLOOR <br /> STOCIZTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0022306 <br /> FA0013387 <br /> Facility ID <br /> Date Printed7/17/01 <br /> BRIAN KECHTER RE : BANTA CARBONA IRRI DIST FISH SCR <br /> BANTA CARBONA IRRI DIST FISH SCREEN 26800 S KASSON RD <br /> PO BOX 188 TRACY CA 95304 <br /> BANTA CA 95304 OWNER : KIEWIT PACIFIC CO <br /> Health <br /> Date Program Description Firs Employee Amount <br /> Invoice# IN0085976--Date of Invoice: 7117/01 <br /> 7117101 2220 SM HIN GEN<5 TONS/YR 100.00 <br /> 7/17101 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 10.00 <br /> Total for this Invoice 110.00 <br /> Payment Due Date 811612001 <br /> TOTAL DUE this Billing Period $110.00 <br /> _ Please make Checks PAYABLE to: PFIS/EDD / 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 /> 5255.rpt <br />