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V Report #5255 <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> A45 N SAN JOAQUIN STREET <br /> PO BOX 388 <br /> STOCKTON . CA 95201-0388 _ <br /> Accounting Office : 209 468-0,340 <br /> r4 r:: c. c) l..! r...a .t.M ` t:: : . 'a rra <br /> TO : WOOD , CLAUDE C —sA ount # 0009163 <br /> <br /> _ <br /> Facility ZD 006730 <br /> RE : WOOD , CLAUDE C Billing Date : 12 /13 /94 <br /> 681 E LOCKEFORD LO.DI <br /> PLEASE RETURN THIS STATEMENT WITH YOUR PAYMENT <br /> LDateServiceActivity Description _ Hrs Employee — Amount <br /> Invoice N 014092 -- Date of Invoice : 08/17/94 <br /> 08/15/94 PAYMENT $-234 . 00 <br /> 08/29/94 2380 UST PERM CLOSURE PLAN CHCK 0 . 5 TREVENA $39 . 00 - <br /> 09/21 /94 2380 UST PERM CLOSURE PLAN CHCK 0 . 2 TREVENA $15. 60 <br /> 09 /28/94 2380 UST PERM CLOSURE PLAN CHCK 1 . 5 YREVENA $117 . 00 <br /> 09/29/94 2380 UST PERM CLOSURE PLAN CHCK 0 . 5 TREVENA $39 . 00 <br /> 10/10/94 2380 UST PERM CLOSURE PLAN CHCK 0 . 4 TREVENA $31 . 20 <br /> 10/21 /94 2380 UST PERM CLOSURE PLAN CHCK 0 . 2 TREVENA $15 . 60 <br /> ------------------------------- <br /> Total for this invoice : 23 . 40 <br /> If this INVOICE has been Paid , Please Disregard this Notice . . . <br /> . . . and DEDUCT the Amount Paid from the TOTAL DUE <br /> PAYMENT <br /> Penalties will be added on all PERMIT FEES RECEIVED <br /> at the rate of 100% of the Base Fee DEC 2 81994 <br /> 60 days after the invoice date . SANJOAQUINp4UNTY <br /> For all SERVICE FEES penalties wilt PUBLIC HE <br /> be added a t t h e rate o f 10% ENVIRONMENTAL HEALTH DIVISION <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> TOTAL DUE this Billing Period : $23. 40 <br /> Account1-30 Days 31-60 Days —90 D2 <br /> Days 91- <br /> 6110 Days 121+ Plus ' <br /> Summary _.� — — — �_ <br /> 0 . 00 0 . 00 0 . 00 23 . 40 0 . 00 <br />