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SAN JOAOUIN COUNTY PUBAR EALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICEAccount lD <br /> /. AR0011540 <br /> (v <br /> F FA0007466 <br /> "I Facility ID <br /> 217` Date Printed 5/23/01 <br /> BRAD DICKSON RE : GEORGIA PACIFIC CORP(FORMER) <br /> BROWN AND CALDWELL75 W VALPICO RD <br /> / TRACY CA 95336 <br /> PO BOX 8045 <br /> WALNUT CREEK,CA 94596386 OWNER: S W REALITY COMP INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0082012—Date of Invoice: 2/27101 <br /> 1/16/2001 2960 315 REPORT REVIEW 0.9 INFURNA $78.30 <br /> 1/22/2001 2960 312 CONSULTATION 0.5 INFURNA $43.50 <br /> 1/23/2001 2960 312 CONSULTATION §C � ) 0.4 INFURNA $34.80 <br /> �i Total for this Invoice $156.60 <br /> Payment Due Date 3/3 012 0 01 <br /> TOTAL DUE this Billing Period $156.60 <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 /> VA091 J�� <br /> PAST DUE. <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY' <br /> 5u�► 523 4 � U <br /> 5255.rpt <br />