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SAN JOAOUIN COUNTY PUBLIC LTH SERVICES - <br /> ENVIRONMENTAL HEALTH DIVISION Page 1 <br /> 304 E W ' 't R AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> DLC, I� I� <br /> INVOICE 1 FI-B 5 Z'll ILAccount ID AR0003412 <br /> FA0003824 <br /> By Facility ID <br /> Date Printed 1/31/01 <br /> UNIVERSAL,FOREST PROD INC RE : UNIVERSAL FOREST PROD INC <br /> UNIVERSAL COMPANY 4554 S EL DORADO ST <br /> PO BOX 31690 STOCKTON CA 95205 <br /> STOCKTON CA 95213 OWNER: UNIVERSAL COMPANY <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0079467--Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#001 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $618.00 <br /> Payment Due Date 20 <br /> TOTAL DUE this Billing Period $618.00 <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 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 /> r' <br /> 0 R i.0SV!.'e�'---- <br /> R0VE <br /> . .__.� SAN�pNQA 1 EA RH DNISION <br /> P118�MEN1 p1, <br /> F NVIRN <br /> s <br /> 5255.rpt <br />