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SAN JOAQUIN COUNTY <br /> ENVIRO.NMEN•TAL HEALTH DEPARTME Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 O D <br /> INVOICE AccountlD AR0016060 <br /> Facility ID FA0009060 <br /> Date Printed 2/27/2004 <br /> GLEN CAMPER RE : EARTH SHELTER <br /> EARTH SHELTER 412 S SACRAMENTO ST <br /> <br /> <br /> OWNER : CAMPER, GLEN <br /> (lata Health <br /> rrogram D:33cripti:,r Amount <br /> Invoice# IN0115498---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ -2,W,D0.. <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> Ike Cl�.tss I� �iov� +0 (ASed Dtt Ov'l�l • � 5� <br /> PAYMENT <br /> RECEIVED <br /> MAR 5 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' _ Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />