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SAN JOAQUIN COUNTY ENVIR N1M' 'T"- HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE-3RD FLOG <br /> STOCKTON, CA 95202 <br /> Phone: (M9)468-3420 <br /> INVOICE Account ID AR0003288 <br /> Facility ID FA0003709 <br /> Date Printed 6/11/2002 <br /> ULTRAMAR INC RE : BEACON#3698 <br /> 685 W THIRD ST 153 E 11TH ST <br /> HANFORD CA 93230-5000 TRACY CA 95376 <br /> OWNER: ULTRAMAR INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0096899--Date of Invoice: 6/11/2002 <br /> 6/11/2002 2220 SM HW GEN<5 TONS/YR $200.00 <br /> Total for this Invoice $200.00 <br /> Payment Due Date 7/1 <br /> TOTAL DUE this Billing Period $200.00 <br /> 5 <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 all SERVICE FEES <br /> at the Rate of 100%of a Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the D je Date 60 Days after the Invoice Date and each 30 thereafter <br /> lelP .7,- / ;2l3tlDz <br /> PAYMENT <br /> RECEIVED <br /> JUN 2 4 2002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAT TH DIVISION <br /> 5267.rpt <br />