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^AFI -IOAQUIN COUNTY PUBLIC p" 4LTtl SERVICF3 Report WE' <br /> I ENVIRONMENTAL IEALTIi OIVIS'L.� Stnr nt Print�dO1 /OF /92 <br /> -'C4 E WEBER AVENUE — 3RD FLOOR <br /> ST^&KTON , CA 95202 <br /> rAdcounting Office : 209 4EB-3420 <br /> i <br /> i <br /> TO : DELTA RADIOLOGY MED GROUP INC — <br /> 1121 W VINE ST Account # 0011144 <br /> LODI , CA 952447 <br /> A-TTN : 0 K KOEHM3TEDT Facility TO 007405 <br /> r RE : DELTA RAOIOLOGY MED GROUP INC <br /> _ :kl ST,. HAIL_L 1 <br /> LOOP - - - --_- -- - <br /> '' PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYIENT <br /> ervice Activity <br /> Date Des s craptirn His Employee Amount <br /> Invoice # 044369 -- Date of Invoice: 12/12/97 <br /> 12/12/9? 2399 UNIFIED PROGRAM FAC STATE SERVICE FEETank. #PR5O6s?13 X18 . 50 <br /> 12/12/97 327.3 I-IA,Z WASTE CE FAC STATE SERVICE FEE ;"0 71. <br /> 12/12/97 4557 MED WASTE LIMITED HAULER . 00 <br /> I <br /> -------------------T------ <br /> Total for this invoice : ;106 .2 <br /> Payment DUE DATE 01/12/98 <br /> If this INVOICE has been Paid, Please Oisregsrd this Notice <br /> Invoice # 044466 -- Date of Invoice: 12/12/97 <br /> 12/12/47 2234 I-IAZAPOOUS .WA-TE CESW r-ACILIT.Y PERMIT <br /> Total for this invoice : $100 .00 <br /> Payment DUF DATE 1/12/98 <br /> If this INVOICE- has been Paid, Please Disregard this Nntiv PAYMENT <br /> p� <br /> RECEII�I;D <br /> - - FES - 81998 <br /> SAN JOAQUIN COU ICE FE EES penal t:es will <br /> Penalties gill be added en all Permits ENVIRONAgENTq . FLDl1f78IQt� rate of IV, 61 day: <br /> :E <br /> at the rate of 1.00E of the Rase Fee 30 ._past ry ;'ce date and each 3e days <br /> days.after the due .-'thereafter. y _ y <br /> TOTAL DUE this Billing Period : C $206 257 <br /> Please make Checks PAYABLE to : PNS/END 1 <br /> / <br />