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SAN JOAOUIN COUNTY PUBLIC .—TH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIz�iJN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. <br /> <br /> <br /> s� <br /> Facility ID FA0010980 <br /> Date Printed 2/1/01 <br /> wry <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 Description Hrs EmphyeA Amount <br /> Invoice# IN0081116---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date /20 <br /> TOTAL DUE this Billing Period $110.00 <br /> i <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 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 /> RECEIVED <br /> FEB Qq 2001 <br /> SAN JOAQUIN COUNTY <br /> FItRI IC AITu cFP\ACF9 <br /> 5255.rpt <br />