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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF Page 1 <br /> 600 E MAIN STREET <br /> STOePhone: <br /> 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017948 <br /> Facility ID FA0010948 <br /> Date Printed 9/24/2009 <br /> FRONTIER PERFORMANCE LUBRICANT RE : FRONTIER PERFORMANCE LUBRICANTS <br /> <br /> 816 BLACK DIAMOND WAY A <br /> LODI, CA 95249-0720 <br /> OWNER : FRONTIER PERFORMANCE LUBRICANT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0193701 ---Date of Invoice: 9/24/2009 III III III VIII VIII VIII VIII VIII VIII VIII II'IIII/III II VIII/III/III <br /> Hrs Employee <br /> 8/3/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 57.50 <br /> 8/10/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.30 CACAPIT $ 34.50 <br /> 8/14/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.60 CACAPIT $ 69.00 <br /> Total for this Invoice $ 161.00 <br /> Payment Due Date 10/24/2009 <br /> TOTAL DUE this Billing Period $ 161.00 <br /> PAYMENT <br /> RECEIVED <br /> OCT 2 1 2009 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENL <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 /> 5254.rpt <br />