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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM - <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> AccountlD AR0014494 <br /> INVOICE <br /> I Facility ID <br /> FA0007881 <br /> I Date Printed 7/26/2004 <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 /> Health Amount <br /> Date Program Description <br /> Invoice# IN0121894---Date of Invoice : 6/23/2004 IIIIIIII IIIIII III VIII IIIII IIIII IIIII IIIII VIII VIII VIII IIII IIIIII 111111111 IIII <br /> Hrs Employee <br /> 5/19!2004 2950 315-REPORT REVIEW <br /> 0.50 LAGORIO S 46.50 <br /> Total for this Invoice $ 46.50 <br /> Payment Due Date 7/24/2004 <br /> TOTAL DUE this Billing Period $ 46.50 <br /> SECON <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees penalties will be added at the Rate of 10% <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 45 Days after the Invoice Date 60' :after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />