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%,AN JOAQUIN COUNTY PUBLICLTH SERVICES 46 Page 1 <br /> ENVIRONMENTAL HEALTH DIVIWN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE AccountlD F7ff66R6ffj <br /> LEMMEMEMENNUMIN <br /> FA0002602 <br /> Facility IDLMMUMMMMOMENA <br /> Date Printed 1/2/01 <br /> LMMMMMMONNOM <br /> RE : KAISER PERMANENTE <br /> KAISER PERMANENTE 7373 WEST LN <br /> 7373 WEST LN STOCKTON CA 95210 <br /> STOCKTON CA 95210 OWNER : KAISER PERMANENTE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069405--Date of Invoice: 4/19/00 <br /> 7/15/2000 9994 PERMIT FEE PENALTY $270.00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#001 $$1,70.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $550.00 <br /> PAST DUE <br /> Invoice# IN0077443--Date of Invoice: 11114/00 <br /> 11/14/2000 4530 LG QUANITY GENERATOR EH Operating Permit Fee $158. <br /> I W Total for this Invoice $15 .00 <br /> Payment Due Date 12/ 000 <br /> TOTAL DUE this Billing Period $7 .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 /> REcLNED <br /> JAN % ZNA <br /> km COON"RV NE <br /> pr fir;(N OIVbION <br /> 5255.rpt <br />