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W JOAQUIN COUNTY PUBLIC- 'ALTH SERVICES Page 1 <br /> i NVIRONMENTAL HEALTH DIY .JN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID Ff0017154ii <br /> FA0010154 <br /> Facility ID <br /> Date Printed3/27/01 <br /> JANICE ANDERSON RE : GOLDEN STATE IRRIGATION SVCS <br /> GOLDEN STATE IRRIGATION SVCS 1648 N SHAW RD <br /> <br /> OWNER: JAMES CLARE <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080441 —Date of Invoice: 1/30/01 <br /> 1/30/2001 2221 USED OIL ONLY-<5 TONS/YR $50.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $60.00 <br /> Payment Due Date 12001 <br /> TOTAL DUE this Billing Period 0.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalheswlll be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 7 2001 <br /> sArI K)Ar�.I,',�_ainm <br /> PunLle I I ,tuvicts <br /> FNVIH•:Ira„I ; 'i ;. 1 ,LdVIS10N <br /> 5255.rpt <br />