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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 AR0025211 <br /> Facility ID FA0014798 <br /> Date Printed 5/25/2004 <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# IN0109851 ---Date of Invoice: 7/17/2003 111111NIII11111111111111111111111111111111111111111111111111111111111111111111111 <br /> Hrs Employee <br /> 7/16/2003 2950 315-REPORT REVIEW 1.70 INFURNA $ 151.30 <br /> 7/17/2003 9999 PAYMENT ($ 267.00) <br /> 7/17/2003 2950 315-REPORT REVIEW 0.90 INFURNA $ 80.10 <br /> 7/29/2003 2960 312-CONSULTATION 0.30 INFURNA $ 26.70 <br /> 10/14/2003 2950 315-REPORT REVIEW 2.10 INFURNA $ 195.30 <br /> Total for this Invoice $ 186.40 <br /> PAST DUE <br /> Invoice# IN0121186---Date of Invoice: 5/19/2004 <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 $ 241.80 <br /> Total for this Invoice $ 409.20 <br /> Payment Due Date 6/23/2004 <br /> TOTAL DUE this Billing Period $ 595.60 <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 /> 5255.rpt <br />