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SAN -JOAQUIN CO`,�iNTY PUBLIC HEALTH SERVICES Report #5255 � <br /> ENW-IR-AIME:NTAL HEALTH DIVISION Statement Printed : 02/05/56 l <br /> 304 E' WEBER AVENUE — 3RD FLOOR J <br /> PO BOX 388 <br /> STOCKTON, CA 95201-0388 J <br /> Accounting Office : 209 468--3420 � <br /> 7. <br /> f J <br /> � J <br /> k TO : CARPENTER COMPANY INC J <br /> E PO BOX 279Account # 0000209 , 4 <br /> f LATHROP , CA 95330 -- <br /> J ,. <br /> Fac4Iity ID 000210 J <br /> RE : CARPENTER COMPANY INC - � f <br /> _. .171.00 S HARLAN RD �LATHROIP;: - <br /> S <br /> t PLEASE RETURN a COPY of PHIS STATEMENT with YOUR PAYMENT <br /> I Service Activity # <br /> Date Description H r s Ermp1oyee Amount <br /> I <br /> { Invoice 0 026232 -- Date of Invoice: 02/05/96 <br /> 02/05/96 2301 UST State Surcharge Fee �� �Tank—#—TA158701 --_—�—��� �$5b . 0D <br /> � J <br /> Total for this invoice: 56 <br /> Payment DUE DATE_ 03/06/96 ' <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> f <br /> E � <br /> f ' <br /> J t <br /> REEF f F <br /> 9 <br /> FEB 2 8 1996 1 <br /> �•-_�� __.F.,, '- _.....h��.r '. '- --. . - SAN JOnGli.i!N °.iUUSV't Yr� <br /> PUBLIC HEALTH SERVICES <br /> J ENVIRONMENTAL HEALTH DIVISION f <br /> f I <br /> l J <br /> C PENALTIES for all FEES for SERVICE will be ASSESSED I <br /> PENALTIES will be ASSESSED on all ANNUM PERMITS at the rate of let of the Service Fee F <br /> at the rate of lett of the base Fee 30 days after the Payment DUE DATE <br /> E 30 days after the Payment DUE OATE. and EACH 39 days-thereafter. b .. <br /> TOTAL DUE this Billing Period: f $56. 00 j <br />� a <br /> Account 1-30 Days 3160 flays 61-90 Days 91-120 DayIPlus <br /> 123+ 1 <br /> Summary J <br /> 226 . 00 0 . 00 0 . 00 0 . 00 0 . 00 J <br />