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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISIt,_.., <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0013272 <br /> LINNINNOMMEMMEMA <br /> Facility I FA0007684 <br /> Date Printed 4/25/00 <br /> CHARLES JOHNSON-LAB MGR RE: F G L ENVIRONMENTAL <br /> F G L ENVIRONMENTAL 2500 STAGECOACH RD <br /> <br /> OWNER: NELSON,DARRELL' <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# INOObb9837—Date of Invoice: 4M9100 - - - - - - <br /> 4/19/2000 2234 HAZARDOUS WASTE CESW FACILITY $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice 110.00 <br /> Payment Due Date 5l <br /> TOTAL DUE this Billing Period 110.00 <br /> Please make Checks PAYABLE to: PHS/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 thereafter <br /> PAYMENT <br /> REGEIviFn <br /> MAYi820 <br /> SAN JOAQUIN CUUNTy <br /> PUOUC HEALTH SERVICES <br /> FN <br /> VIRONMFNTAL HEAIJH DMOION <br /> 5255.rpt <br />