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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART T Page 1 <br /> 304q E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account U) AR0017523 <br /> Facility ID FA0010523 <br /> Date Printed 2/27/2003 <br /> CENTRAL CALIF KENWORTH RE : CENTRAL CALIFORNIA KENWORTH <br /> 10998 S HARLAN RD 10998 S HARLAN RD <br /> FRENCH CAMP, CA 95231 FRENCH CAMP, CA 95231 <br /> OWNER : TOM G PISTACHIO <br /> nate Health <br /> F1 Iain Decr•rintinn Amount <br /> Invoice# IN0103852—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 375.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 592.50 <br /> Payment Due Date 3/29l�00 <br /> TOTAL DUE this Billing Period $ 592.50 <br /> PAYMEN '. <br /> Ri ECENEF' <br /> p P R 2 4 2003 <br /> PAN JOAUIN COUNTY <br /> 06LICC HEALTH S RVICES <br /> ENVIRONWWAI HFAITH DIVISION <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 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 Days thereafter <br /> 5255.rpt <br />