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SAN JO,%OUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> AVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Accountl OF AR00 99998 <br /> Facility I FA0006988 <br /> 71 <br /> Date Printed 7/26/00 <br /> DON CULBERTSON RE: ALDEN PARK CHEVRON <br /> CHEVRON PIPE LINE CO 500 N SEQUOIA AVE <br /> PO BOX 6059 TRACY CA 95376 <br /> SAN RAMON CA 94583 OWNER: TRACY,CITY OF <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice S IN0072162---Date of Invoice: 5122/00 <br /> 4/6/2000 2960 315 REPORT REVIEW 0.4 INFURNA $31.20 <br /> 4/7/2000 2960 312 CONSULTATION 0.6 INFURNA $46.80 <br /> 4/12/2000 2960 944 OTCOMPLAINT 1.8 INFURNA $210.60 <br /> 4/12/2000 2960 310 FIELD CONSULT 1.5 INFURNA $117.00 <br /> Total for this Invoice $405.60 <br /> Payment Due Date 612912000 <br /> TOTAL DUE this Billing Period $405.60 <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 /> 59F5 ml <br />