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'IOA .IUf+4U [ H GUUN I]Y f'UtiLlt, HLAL III _,LkViLL'�l neporL f5LDJ <br /> ENVIRONMENTAL HEALTH DIVIF N Sta' lent Printed : 05/20/99 <br /> 304 E WEBER AVENUE — 3RD F _ ,OR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 . <br /> TO : CRYS'T'AL CLEANERS — <br /> 1296 W 11TH ST Account # 0016148 <br /> TRACY , CA 95376 <br /> ATTN : ASHOK PATEL Facility ID 009148 <br /> RE : CRYSTAL CLEANS S <br /> 1296 W 11TH ST <br /> TRACY <br /> TEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Descrip ion Hrs Employee Amount <br /> Invoice # 056387 Date of Invoice : 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $18 . 50 <br /> -------------------------------------- <br /> Total for this invoice : $18 . 50 <br /> Payment DUE DATE 06/20/99 <br /> If this INVOICE has been Paid, PleasDisregard this Notice <br /> oice # 058518 -- ate of Invoice: 05/18/99 <br /> 05/18/99 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10 . 00 <br /> 05/18/99 2220 SM HW G N <5 TONS/YR $100 . 00 <br /> --------------------------------------- <br /> Total for this invoice : $110 . 00 <br /> Payment DUE DATE=�: <br /> ' i�i�,�{41 M 6/20/99 <br /> If this INVOICE has been Pai',d, Pleasi Disregard this Notice F-,'cnc'"=1vF-D <br /> • SAN JGr�UIN�•'`?�s��ry <br /> Pllal i(,NEhLT)•!`IsiF+.��if;l'S <br /> ENVIflUNh'�cri f,,L jjkA;-iti UTVISION <br /> For all SERVICE FEES penalties will <br /> Penalties will b added o all Permits be added at the rate of 10% 66 days <br /> at the rate of 111% of th Base Fee 30 past invoice date and each 31 days <br /> days after the due date. thereafter. <br /> TOTAL DUE this Billing Period: $128. 50 <br /> Please make Checks PAYABLE to : PHS/EHO <br />