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SAN 3OAQ.UIN COUNTY PUBLIC '-ALTH SEILVICES Report #5255 <br /> � <br /> E�V�RON^ MENTAL HEALTH DIVI /N ment Printed : 06 /28 /99 <br /> 304 E WEBER AVENUE — 3RD FLOOR <br /> STOCKTON , <br /> <br /> ���0~��� <br /> ' ' 8 QV=*Q_ <br /> IRS GROUP <br /> TO : LAWRENCE LIVERMORE NAT ' L LAB # <br /> P0 BOX 808 L-633 Account # 0016969 <br /> LIVERMORE . CA 94651 <br /> ATTN ; STEVE HARRIS Facility ID 009969 <br /> RE ; LAWRENCE LIVERMORE NAT ' L LAB #300 <br /> 15999 W CORRAL HOLLOW RD <br /> TRACY <br /> Yi[0[ k[TU8U x COPY of THIS STATEMENT with YOUR ykYU0T <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice # 057115 -- Date of Invoice: 05/18/99 .� <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> ------------------------------------- <br /> Total for this invoice : $18, 50 <br /> Payment DQE DATE 06/20/99 <br /> If this 0V0lC[ has been YoN. Yloom Disregard this Uoboo <br /> l\ <br /> Invoice # 059304 -- Date of Invoice : 05/18/99 <br /> 05/19/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18/99 2220 SM HW GEN <6 TONS/YR *100 , 00 <br /> ------------------------------------- <br /> Total for this invoice : $110.00 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid. Please Uismgord 'doio Notice <br /> For all S0Y[C[ FEES penalties will <br /> yonobios will he added on all Permits he added at the rate of 0% 60 days <br /> at the rate of lift of the 8o*o Fee 30 post invoice dote and each 30 days <br /> days after the due JoLo. thereafter. <br /> TOTAL DUE this Billing Period: <br /> Please make Checks PAYABLE to: PHS/EHD <br /> i�� " Vp <br /> �In- 40 ` <br /> � <br /> �� <br />