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SAN JOAQUIN COUNTY PU'�L.IC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIN N St Went Printed : 05/20/99 <br /> 304 E WEBER AVENUE — 3R'DOR <br /> STOCKTON, CA 95202 <br /> Accounting Office : 209 468-3420 i <br /> TO : RO—LAB AMERICAN RUBBER CO INC — <br /> PO BOX 450 Account # 0016289 <br /> TRACY , CA 95376 <br /> ATTN . HENRY P WRIGHT Facility ID 009289 <br /> RE : RO—LAB AMERICAN RUBBER CO . INC <br /> 8830 W LINNE RQ, <br /> TRACY' <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date---- .-_t-est,rfiptirirr.... . . _, Hr5 E.mpIoyee Amouht_ <br /> Invoice # 056504 -- Date of Invoice : 05/18/99 <br /> Oc/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> ------------------------------------- <br /> Total for this invoice : 8.50 <br /> Payment DUE DATE 6/20/9 <br /> rf this INVOICE has been Paid, Please Disregard this Notice <br /> invoice #k 058651 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2220 SM HW GEN <5 TONS/YR $100 . 00 <br /> '1-5/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE°,,.'..., $10 . 00 <br /> Total for this invoice : 110 .00 <br /> Payment DUE D�1tE /20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice PAYMENT <br /> iR EC'R� IF <br /> SAN JOAQ1.fN C ; FrJT'� <br /> PU �l�N.irJ' <br /> For all SERVIC ` ift�![atvls;ora <br /> Penalties will be added on all Permits be added at the rate of 10E 61 days <br /> at the rate of 1O0% of the Base 'Fee 30 past invoice date and each 36 days <br /> days after the due date, thereafter. <br /> TOTAL .DUE this Billing Period: $128.50 <br /> Please make Checks PAYABLE to: PHS/EHD <br />