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pa. g '� )"&VOICE FOR OVERSIGHT COSTS `d fin510a <br /> Send Payment to: State Water Resources Control Board <br /> Underground Storage Tank Local Oversight p1"oykiilT— Bill Date: <br /> PO Box 94421.2 I 10C <br /> 11J14/95 <br /> Sacramento, CA 94244-2120 <br /> ' 6 J'=' ti $ 24 <br /> Local Agency: SAN JOAQUIN LOCAL HEALTH DIST. <br /> Site Location: <br /> SITE # 1098PEGASUS GROUP VILLAGE WEST MARINA <br /> DWIGHT DAVIS � J 6649 EMBARCADERO DR <br /> 1$4& 9 NfTHf#Elt-Hit-300- f���� f L�k%*V XraC, STOCKTON, CA <br /> WALNUT CREEK, -GA--44-5x5-6—/, 95219 <br /> Total previously billed: $ 20768.06 <br /> Payments) received as of 05/18/94 $ 1, 568.84 <br /> **New Charges - Billing Period-07/01/94 through 06/30/95 $ 922.20 <br /> ,FUND: F Total. amount due: $ 2, 121.42 <br /> State Health and Safety code Sections 25297.1 and 25360 and Title 42 of the United states code Section 699lb(h)(6) require recovery <br /> of costs associated with the Local oversight program. when your site was put in the local oversight program, you received e <br /> Letter explsining that the State water Resources Control Board (Stnre Board) would bill you far public costs of cleanup oversight. <br /> This bill includes site specific and program management charges. site specific charges directly relate to your site. Examptes <br /> are sampling for soil and ground water contamination, site inspections, and reviewing reports and workplan. A description of <br /> activity codes follows the itemized charges. Program management includes other costs associated with program operation. Such costs <br /> may include: space rental, office services and supplies, purchase of sampling equipment, training and the salary and benefits of <br /> support personnel (i.e., clerical staff, accountant, program supervisor). Program management charges are calculated at not more <br /> than 50 percent of site specific charges. The exact rate is shown or, the last page of your bill. <br /> if you received an invoice for a previous billing period, thace charges are shown as 'fotai Previously aillcd". Any poynents you <br /> made an the previous billing are shown as "Paviocnt Received". The total of any unpaid previous balance plus r,ew charges is <br /> shown as -Total Amount Due". <br /> ** See itemized list of new charges on next paga(s). <br /> FOR INFORMATION CALL: LORI CASIAS (916) al/-4325 <br /> p}�yylg IS DUE IN 30 DAYS <br /> T - Cut. an this lane- --- -- - - - - -- - - - - - - -`�- ----- -- - - <br /> Return this part with yourcheck made payable to SWRCB. Use the encldsed <br /> envelope and send to the address above. <br /> Local Agency: SAN JOAQUIN LOCAL HEALTH DIST. Site #: 109M <br /> " -` <br /> Site Location:—� <br /> PEGASUS GROUP VILLAGE WEST MARA �1 <br /> DWIGHT DAVIS 6649 EMBARCADERO DR <br /> STOCKTON, CA <br /> Post-Ir Fax Note 7671 <br /> Dale papas► y 5 21 y <br /> FTom <br /> Total amount due; $ 2,121.42 <br /> Phone M Phone N <br /> Fan ,i Fa*e Enter amount paid-t _ <br />