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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIV' )N <br /> ` 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. C <br /> <br /> <br /> Facility ID FA0003712 <br /> Date Printed 10/4/01 <br /> PERMIT DESK RE : CHEVRON STATION#94275* <br /> CHEVRON PRODUCTS USA 2905 W BENJAMIN HOLT DR <br /> PO BOX 6004 BLDG V-1140 STOCKTON CA 95207 <br /> SAN RAMON CA 94583 OWNER: CHEVRON PRODUCTS USA <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0087658---Date of Invoice: 10/4/01 <br /> 10/4/01 2220 SM HW GEN<5 TONSNR 200.00 <br /> Total for this Invoice $200.00 <br /> Payment Due Date 01 <br /> TOTAL DUE this Billing Period $200.00 <br /> Please make Checks PAYABLE to: PHS/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 /> 5255.rpt <br />