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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr Page 1 <br /> 304 E WEBER AVS -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025211 <br /> Facility ID FA0014798 <br /> Date Printed 7/1/2004 <br /> JEFF GOOLD RE : MOUNTAIN HOUSE NEIGHBORHOOD E <br /> SHELL OIL PRODUCTS US MASCOT & MARINA BLVD <br /> 2555 13TH AVE SW TRACY, CA 95376 <br /> SEATTLE, WA 98134 <br /> OWNER : TRIMARK COMMUNITIES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0121186---Date of Invoice : 5/19/2004 1111$111111 E 111 11111 11111 111 11111 11111 U��11E 11111�11 1111 11E 1111 IN <br /> Hrs Employee <br /> 4/13/2004 2960 315-REPORT REVIEW 0.90 INFURNA $ 83.70 <br /> 4/15/2004 2960 315-REPORT REVIEW 0.90 INFURNA $ 83.70 <br /> 5/3/2004 2960 310-FIELD CONSULT 2.60 INFURNA S 241.80 <br /> Total for this Invoice $ 409.20 <br /> Payment Due Date 6/23/2004 <br /> TOTAL DUE this Billing Period $ 409.20 <br /> qED�A 60 S L 0 <br /> PAYM NT LIS�� <br /> RECEIVED DIP <br /> J U L 12004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> OFALTH 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 Days after the Invoice Date and each 30 Days thereafter <br /> 52>j.rpt <br />