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SAID JOAQUIN COUNTY PUBLIC kLTH SERVICES Page 1 <br /> ENVIRQNMENTAL HEALTH DIN ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCK <br /> <br /> AR0003539 <br /> FA0003934 <br /> Facility ID <br /> Date Printed 3/2/01 <br /> LLNL/W W SCHWARTZ RE : LLNL-SITE 300* <br /> LLNL-SITE 300* CORRAL HOLLOW RD <br /> PO BOX 808 L-627 TRACY CA 95376 <br /> LIVERMORE CA 94550 OWNER : UNIVERSITY OF CALIFORNIA <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0081555---Date of Invoice: 1/30/01 <br /> 2/1/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#029 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#032 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#033 $125.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#034 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#001 $500.00 <br /> Total for this Invoice 1,050.0 <br /> Payment Due Date 3/2/2001 <br /> TOTAL DUE this Billing Period $1,050.00 <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 Penaltieswill 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 /> PAYNAEN-i' <br /> RECEIVED <br /> A=FB r, 7 ��01 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> FNVIRONMFNTAI HEALTH DIVISION <br /> 5255.rpt <br />