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,N COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> _14TAL HEALTH DIVISIC S,tatei r_ Printed : 05/20/99 <br /> �fEIER AVENUE - 3RD FLO) <br /> ON, CA 95202 <br /> accounting Office : 209 468-3.420 <br /> TO : CONCRETE INC 1 <br /> PO BOX 66001 '1L1 y Account # 0016775 <br /> STOCKTON , CA 95206 / <br /> ATTN : DAVID BARNEY Facility ID_� 0 977 <br /> RE : CONCRE/T£ I-NC - -ST-CN-STANISLAUS�((\\�.A <br /> 749 SfSTANISLAUS S <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description y Hrs � Employee Amount <br /> Invoice 0 056939 -- Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> If this I - _------------ ---- Z/2 <br /> Total for this invoice: 50 <br /> Payment DUE DATE 99 <br /> INVOICE has been Paid, Please Disregard this Notice <br /> Invoice 0 059120 -- 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 $100 . 0 <br /> -------ythis invoice : <br /> Payment DUE DATE-,------_ - ------- - -- <br /> 18 .00 <br /> - 0 <br /> If this INVOICE has been Paid, Please Disregard th'!s Notice Total for <br /> PAYWMW <br /> JUN 15 1WQ <br /> 777For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits SANJ"HDUIro c,,. Nrbe added at the rate of 11E 6/ days <br /> at the rate of 111E of the Base Fee 3B PUsuc HE4-rH S1F;Vice$ast invoice date and each 31 days <br /> ENVIpDNhIENTAI.HEALTIIDNISION thereafter. <br /> days after the duedate. <br /> TOTAL DUE this Billing Period: $128.50 <br /> Please make Checks PAYABLE to: PHS/EHD <br />