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0 <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 2 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0014432 <br /> FA0007867 <br /> Facility ID 4uawrcaeZ' #4 <br /> Date Printed10I20/00 <br /> RE : COMMERCIAL PROPERTY <br /> ERLINDA C HERNANDEZ 3012 E WATERLOO RD <br /> 4302 BOULDER CREEK STOCKTON CA 95205 <br /> STOCKTON CA 95219 OWNER : HERNANDEZ,ERLINDA C <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> 6131199$ 2380 Underground Storage Tank EH Operating Permit Fee $170.00 <br /> 613/1996 2380 Underground Storage Tank EH Operating Permit Fee $170.00 <br /> 6/311998 2380 Underground Storage Tank EH Operating Permit Fee $170.00 <br /> Total for this lnvoic€ $470.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $5,570.50 <br /> cc.'� <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMEN <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 /> PAYMENT <br /> RECEIVE© <br /> NOV 6 2000 <br /> AN JOAQLAN C0;,51�11Y <br /> SANpUBL� HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH UI'y !)tv <br /> 0 0 <br /> 5255.rpt <br />