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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Pho <br /> <br /> Facility ID FA0010980� <br /> Date Printed 2/6/200 <br /> GARY BROCK RE: G&L BROCK CONSTRUCTION CO INC <br /> G&L BROCK CONSTRUCTION CO INC 4145 CALLOWAY CT <br /> 4145 CALLOWAY CT STOCKTON CA 952152420 <br /> STOCKTON CA 95215-24 OWNER: GARY&LYNNE BROCK <br /> Health <br /> Date Program Doscription Hrs Employee Amount <br /> Invoice# IN0092343---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3/8/2002 <br /> TOTAL DUE this Billing Period $217.50, <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 all SERVICE FEES <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 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVEC, <br /> d �. <br /> SAID J0AOUir4 <br /> PwicHFR[Th EQLlJT� _ - <br /> - -— ENVIRONW <br /> NrAl IH i uii4,l�k, <br /> 5255.rpt <br />