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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPt %RENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> <br /> 22:3 <br /> Facility ID FA0009333 <br /> Date Printed 4/9/2002 <br /> LARRY DEJONG RE : C DEJONG TRUCKING INC <br /> C DEJONG TRUCKING INC 24975 S AUSTIN RD <br /> PO BOX 126 RIPON CA 95366 20 <br /> RIPON CA 95366 <br /> OWNER: C DEJONG TRUCKING INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0091077---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YR $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3/7/2002 <br /> TOTAL DUE this Billing Period $217.50 <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 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 /> PPS�vEo <br /> �Ec 2p02 <br /> N JOPQ SSS PV ON\g\ON <br /> SP \CEP NE?\jN <br /> ENV\RAN <br /> 5255.rpt <br />