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ZINVIRONMENTAL -'-- & x5L1CHEALTH SERVICES <br /> 304 E WEBER AVEH DIV SION <br /> STOCKTON. CA -3RD FLOOR <br /> 209-468-3420 95202 page 1 <br /> Fi- <br /> Account io AR0020306 <br /> Facility ID FA0012449 <br /> SHARON SHELTON Date Printed 2/1/01 <br /> VINTAGE PETROLEUM <br /> 60 RIVER RD RE : VINTAGE PETROLEUM RIO VISTA CA 94571 10799 S WING LEVEE RD <br /> STOCKTON CA 95206 <br /> Health OWNER: VINTAGE PETROLEUM <br /> Date Program Descripticn <br /> Involce# IN0081502--Date of Invoice <br /> 1/30!0? — Hrs Employee <br /> 1/30/2001 Amount <br /> 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this invoice $10.00 <br /> $10.00 <br /> Payment Due Date <br /> Q�2 <br /> L DUE this Billing period 3/3/2001 <br /> Please make Checks PAYABLE to: $�0.00 <br /> Penalties will be PHS/EHD / Return a <br /> added to all Permit Fees COPY of This STATEMENT with Your PA <br /> at the Rate of 100%of the Base Fee 1'MENT <br /> 30 Da For all SERVICE FEES <br /> ys after the Due Date Penalties will be added at the <br /> Rate of jo% <br /> 60 Days after the invoice Date and each 30 hereafter <br />