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SAN , OAQUIN COUNTY PUBLIC 11EALTH SERVICES Report ENV, RONMENTAL HEALTH DIVISION <br /> Printed : 022/0/0 <br /> 3 /9' <br /> 304 , WEBER AVENUE — 3RD FLOOR <br /> STOC-9TSN', CA 9520-4 _ <br /> r�ccouriting Office : 209 468-3420 <br /> r Y-M <br /> TO : ROTO ROOTER, <br /> PO BOX 37.300 pAccount # ` 0003324 <br /> STOCKTON , CA 95213 <br /> AT7N : ROTO ROOTER Facility ID 003745 <br /> RE : ROTO ROOTER <br /> 3840 E CARPENTER <br /> STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> LD <br /> te _ Description H r s Employee Amount <br /> Invoice M 044097 -- Date of Invoice: 12/12/97 <br /> 12/12/97 2380 UST Permit Fee Tank # TA153301 $170 . 00 <br /> 12/12/97 2380 UST Permit Fee Tank # TA153302 $170 . 00 <br /> 12/12/97 2399 UNIFIED PROGRAM FAC STATE SERVICE FEETank #PR507434 $1% <br /> Total for this invoice : :358 .50 <br /> Payment DUE DATE 12/98 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> PAYMENT <br /> � <br /> FEB - 31998 <br /> PUBLIC Hs"V COON'ry <br /> CNv7gONWN,LL'H SERVICES; <br /> HDN SIGN <br /> For all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of lot 50 days <br /> at the rate of 1003 of the Base Fee 30 past invoice date and each 30 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $358 .50 <br /> Please make Checks PAYABLE to : PHS/EHO NNN <br />