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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone:,(209)468-3420 <br /> INVOICE Account ID AR0017390 <br /> ,7J <br /> EM <br /> �/ ✓ <br /> Facility ID FA0010390 <br /> r, <br /> /{I�i�✓/A}1V,Y/,t")`V,� Date Printed <br /> iN <br /> SCHNEIDER NATIONAL INC RE : , CHNEIDER NATIONAL INC <br /> 161 E TRANSPORTATION CT �p 161 E TRANSPORTATION CT <br /> FRENCH CAMP, CA 95231 !�Il�D� `\�/��j FRENCH CAMP, CA 95231 <br /> 40 <br /> Date Health VA <br /> OW7NER : SCHNEIDER NATIONAL INC <br /> Program Description Amount <br /> Invoice# IN02U 54-Date of Invoice 5/28/2010 1111111111111111111111111 IN 11111111111 IN IN <br /> 5/28/2010 4232 ALTERNATIVE/ENGINEERED SEPTIC SYS ANNUAL $ 450.00 <br /> Total forth is Invoice I $ 450.00 <br /> Payment Due Date 6/27/2010 <br /> TOTAL DUE this Billing Period $ 450.00 <br /> RE�E�v�o <br /> �. �V� 13FZ010 <br /> FO NENTaEN� <br /> ��pEpPR <br /> 1� <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />