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SAN JOAQUIN COUNTY PUBLIC HTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISO f <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account I AR0003702 <br /> Facility ID FA0004053 <br /> Date Printed4/24/00 <br /> JIM ELLIS RE: LUSTRE-CAL NAME PLATE CO <br /> LUSTRE-CAL NAME PLATE CO 110 E TURNER RD <br /> PO BOX 439 LODI CA 95241 <br /> LODI CA 95241 <br /> OWNER: LUSTRE-CAL NAME PLATE CORP <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069652---Date of Invoice: 4/19/00 <br /> 4/19/2000 2227 GEN 5<25 TONS PERMIT $1,400.00 <br /> 4/19/2000 2232 HAZARDOUS WASTE CA FACILITY $648.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice) $2,058.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Period 2,058.0 <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 /> atthe Rate of 100%ofthe 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 /> RECEI'+VED <br /> Mpr 16cm <br /> SM ENVIRONMECMWV <br /> PLIGM�/HEAL jyil; <br /> 5255.rpt <br />