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SAN JOAQUIN COUNTY PUBLIC HEA--H SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISIC <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0016148 <br /> Facility ID FA0009148 <br /> uo� <br /> Date Printed 4/25/00 <br /> ASHOK PATEL RE: CRYSTAL CLEANERS <br /> CRYSTAL CLEANERS 1296 W 11TH ST <br /> 1296 W 11TH ST TRACY CA 95376 <br /> TRACY CA 95376 OWNER: ASHOK PATEL <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069964---Date of Invoice. 4119100 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5125/2000 <br /> TOTAL DUE this Billing Period $110.00 <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 Penalties will all ll addedlCE at FEES <br /> Rate of 10% <br /> at the Rate of 100% f the Base Fee <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> RECRr'`4f--'D <br /> �� 16 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEATH SERVICES <br /> EWRONMENTAL HEAtTS4 nMS" <br /> 5255.rpt <br />