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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017135 <br /> Facility ID FA0010135 <br /> Date Printed 4/23/2003 <br /> RESERVE AT SPANOS PARK(THE) RE : MICKE GROVE GOLF LINKS <br /> <br /> LODI,CA 95242 <br /> OWNER : AMERICAN GOLF CORP <br /> Date Health <br /> t Program Description J �– Amount <br /> Invoice# IN0103711 —Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200,00 <br /> 2/27/2003 2244 PACT TRANSFER RECORD-OES $ 345.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Hae Mat Program Penalty Fee $ 34.50 <br /> 4/21/2003 9999 PAYMENT ($ 562.50) <br /> Toth for this Involve $ 34.50 <br /> t ^� Payment Due Date 3!29/2003 <br /> TOTAL DUE this Billing Pariod $ r 34.50 <br /> YOUR HE atr�lr F�' <br /> TH4C.0i,9E,: ,'YEAR <br /> WILL NOT S :'S3iJEf�tyYJ iii <br /> PPST 0k,1F AMCUNTS <br /> PA10 IN r'JLi. <br /> PAYMENT <br /> RECEIVED <br /> MAY 116,2003 <br /> SAN JOAQUIN COUNTY <br /> FNVIRnBLIC H`ALTF{ST: <br /> ,`n'ISIi% <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 f 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.rptE4 'd 7.6 1 ' '0 P! ^ c s <br />