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SAN JOAQUIN (:UUN I Y � Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM96 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0032574 <br /> Facility ID F FA0018439 <br /> LMMMOMMMEMMMA <br /> Date Print F 8/21/2007 <br /> ACS ASSOCIATES RE : CCJS LLC LEASED PREMISES <br /> PO BOX 4258 1821 E CHARTER WAY <br /> IRVINE, CA 92616-4258 STOCKTON, CA 95205 <br /> OWNER : CCJS LLC <br /> Date Health <br /> Program Description _ Amount <br /> Invoice# IN0164401 ---Date of Invoice: 715/2007 IIIIIIIIIIIIII VIIIIIIIIII VIII VIIIVIIVIIVIIVIII IIII IIIIIIIIIII IIII IIII <br /> Hrs Employee <br /> 7/3/2007 2950 315-REPORT REVIEW 1.00 GIRARDI $ 95.00 <br /> 7/5/2007 9999 PAYMENT ($ 285.00) <br /> 7/11/2007 2950 310-FIELD CONSULT 1.50 GIRARDI $ 142.50 <br /> 7/12/2007 2950 310-FIELD CONSULT 1.50 GIRARDI $ 142.50 <br /> 7/13/2007 2950 312-CONSULTATION 0.20 GIRARDI $ 19.00 <br /> 7/13/2007 2950 315-REPORT REVIEW 0.30 GIRARDI $ 28.50 <br /> Total torthis Invoice $ 142.50 <br /> Payment Due Date 9/2012007 <br /> TOTAL DUE this Billing Period $ 142.50' <br /> RE�E�FD <br /> SEP 21 2007 <br /> SAN JOAQUIN COUNT' <br /> HEATH 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 DES 1 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 /> 5254.rpt <br />