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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMe • Page 1 <br /> 304 I WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Accountlo AR0016801 <br /> Facility ID F FA0009801 <br /> Date Panted 3/27/2003 <br /> WOODLAKE CLEANERS RE : WOODLAKE CLEANERS <br /> 2401 W TURNER RD#220 2401 W TURNER RD 220 <br /> LODI, CA 95242 LODI, CA 95242 <br /> OWNER : CRAIG MOSER <br /> Date Health <br /> I Program Dcscript.on Amount <br /> Invoice# IN0103591 --Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 255.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 3/26/2003 9999 PAYMENT ($ 200.00) <br /> Total for this Invoice $ 272.50 <br /> Payment Due Date a/29/200 <br /> TOTAL DUE this Billing Period 272.50 <br /> ENCS I r46-(L I Yr`+ ^jTN*e <br /> WA-0 oL ME Vr'S <br /> d�O�t-9 i3(I- "t�orj 4 iAJ wo PPC-fM&A✓T5. <br /> PAYMENT <br /> RECEIVED <br /> APR 3 2003 <br /> SAN JOAQUIN COUNTY <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This Rf"MV, r PAYMENT <br /> N. I NI.ION <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />