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�A.N JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DIVJ TON Sit ement Printed : 05 /20/99 <br /> 304 E WEBER AVENUE — 3RD►o000R <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> X. r *✓ rs :i:. c: 4 <br /> TO: SAM LUNG LAUNDRY INC <br /> 742 E MAIN ST Account # 0017623 <br /> STOCKTON , CA 95202 <br /> ATTN : SAM TOY Facility ID 0— 18623 <br /> RE : SAM LUNG LAUNDRY INC <br /> -MAP02 LN <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description , Hrs Employee Amount <br /> Invoice 11 057741 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM F'AC STATE SERVICE FEE $18 . 50 <br /> W ^ — <br /> Total for .thisinvoice : <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> Invoice • 059946 -- Date of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18/99 2220 SM HW GEN <5 TONS/YR $100 . 00 <br /> Total for this invoice: $110 . 00 <br /> Payment DUE DATE 6/2 /9 <br /> If this INVOICE has been Paid, Please Disregard this Notice PARENT <br /> RECEIVED <br /> SAN JOAQUIN COONTY <br /> PUSUC HEALTI4 SMICHS <br /> For all SERVICE FEES peF91YN$?46'9�i71ALH`_A'i�olwslcni <br /> Penalties will be added on all Permits be added at the rate of Iii 60 days <br /> at the rate of 1101 of the Base Fee 31 past invoice date and each 30 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 />