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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5256 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE - 3RD FLOOR <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 <br /> 209-468-3420 <br /> ------------------------- <br /> ACCOUNT # 0009262 1 <br /> TO: MILES, W W ------------------------- <br /> <br /> <br /> LOCATION: 1145 W CHARTER WAY <br /> PERMIT # : SROO4227 <br /> DESCRIPTION: UGST REMOVAL - 1 TAN <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> -------------------------------------------------------------------------------- <br /> -------------------------------------------------------------------------------- <br /> Activity Activity <br /> Date Description Hrs Employee Amount <br /> -------------------------------------------------------------------------------- <br /> - ------------------------------------------- <br /> Invoice # 014635 Invoice Created: 09/21 /94 <br /> 09/19/94 PAYMENT 5-234 . 00 <br /> 09/22/94 2380 034 UST PERM CLOSURE PLAN CRCRIINSPRCTION 1 . 0 SNAVELY S78 . 00 <br /> 09/30/94 2380 034 UST PERM CLOSURE PLAN CRCKIINSPRCTION 1 . 5 SNAVELY $117 . 00 <br /> 10/02/94 PAYMENT 5-468 . 00 <br /> 10/04/94 2380 034 UST PERM CLOSURE PLAN CRCKIINSPRCTION 5 . 0 KITH $390 . 00 <br /> 10/05/94 2380 034 UST PERM CLOSURE PLAN CRCRIINSPECTION 3 . 0 KITH $234 . 00 <br /> 10/13/94 2380 034 USS PERM CLOSURE PLAN CRCUINSPECTION 1 . 0 KITH $78 .00 <br /> 10/17 /94 PAYMENT 5-234 . 00 <br /> 12/07/94 2380 034 UST PERM CLOSURE PLAN CRCUINSPECTION 0 . 4 KITH $31 . 20 <br /> 01/06/95 2380 034 UST PERM CLOSURE PLAN CLACKIINSPRCTION 1 . 5 KITH S117 . 00 <br /> 01 /17 /95 2380 034 UST PERM CLOSURE PLAN CRCKIINSPECTION 0 . 3 KITH $23 .40 <br /> 03/02/95 PAYMENT $-132 . 60 <br /> 03/02/95 PAYMENT 5-37 . 40 <br /> 11/15/95 REFUND $37 . 40 <br /> 01/12/96 2380 034 UST PERM CLOSURE PLN CRCKIINSPECTION 0 . 5 KITH $39 . 00 <br /> Total for this Invoice : $39 . 00 <br /> PAYMENT DUE: 63/1Bt95 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . . <br /> PAYMENT PAST DUE <br /> PAYMENT <br /> RECEIVED <br /> E1 `,~ y !f tlgl <br /> SAN J@Ar)QIN CO(IN'TY <br /> r U$uC HEALTH GFhViCeS <br /> ENVIRONMENTALHEALIH DIVISION <br />