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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF;"- Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0014494 <br /> Facility ID FA0007881 <br /> Date Printed 2/7/2006 <br /> PAUL SUPPLE RE : ARCO FACILITY#2076 <br /> ARCO FACILITY#2076 800 E KETTLEMAN LN <br /> PO BOX 6549 LODI, CA 95240 <br /> MORAGA, CA 94570 <br /> OWNER : ARCO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0141783---Date of Invoice : 12/20/2005 11111111 Hill III VIII IIIII IIIII IIIII IIIII 11111 11111 IIIA 1111111111111 IIII IIII <br /> Hrs Employee <br /> 11/21/2005 2950 310-FIELD CONSULT 4.00 DUNCAN $ 372.00 <br /> Total far this Invoice $ 372.00 <br /> Payment Due Date 1/21/20116 <br /> TOTAL DUE this Billing Period $ 372.0 <br /> PAYMENT <br /> RECEIVED. <br /> FEB 0 7 Li., <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 Day, -`er the Invoice Date and each 30 Days thereafter <br /> �?54.rpt <br />