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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL F: ALTH DIVIS <br />304 E WEBER AVENUE — 3RD FOR <br />STOCKTON, CA 95202 <br />Accounting Office: 209 468-3420 <br />Report 15255 <br />Stat 0nt Printed: 01/29/99 <br />p") <br />T0: MANTECA, CITY OF 1001 W CENTER ST <br />01j, Account # 0004MANTECA, CA 95337 —` — <br />Facility ID 003844 <br />RE: CITY OF MANTECA — <br />210-E-WETMORE-AVb <br />MANTECA <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Service Activity <br />Date Description Hrs Employee Amount <br />Lnvoice # 054198 -- Date of Invoice: 01/28/99 <br />01/28/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />01/28/99 2380 UST Permit Fee Tank # TA145OO1 <br />01/28/99 2380 UST Permit Fee Tank # TA145OO2 <br />01/28/99 2380 UST Permit Fee Tank # TA145003 <br />----------------------- <br />Total for this invoice: <br />Payment DUE DATE <br />If this INVDIr,E has bee., Paid, Please Disregard this Notice <br />,ry <br />PAYMENT <br />or ch 6YWf (iah(2 FEB 2 41999 <br />PUBLIC HEA'_TH 3 <br />ENVIHONKNTAL HEAL; H D; VJ8I0N <br />nD pblw*� <br />Penalties be added <br />at the rate of lift of the Base Fee 32 <br />days after the due date. <br />blpta �yulo-9$Z � 1900 1'� �= , <br />For all SERVICE FEES penalties will <br />be added at the rate of 10% 60 days <br />past Invoice date and each 31 days <br />thereafter. <br />TOTAL DUE this Billing Period: <br />Please make Checks PAYABLE for PHS/EHD <br />0 0 <br />$10.00 <br />$170.00 <br />$170.00 <br />aO <br />$520.00 <br />