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OMNJVAt,tlllm %.1vul 1 T <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 394 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025645 <br /> Facility ID FA0015 009 <br /> Date Printed F 3/19/2004 <br /> Immoommmmommma <br /> PACIFIC COAST MS INDUSTRIES RE : PACIFIC COAST MS INDUSTRIES <br /> 4101 N HOLLY DR 3940 COMMERCIAL ST <br /> TRACY, CA 95304 TRACY, CA 95376 <br /> OWNER : PACIFIC COAST MS INDUSTRIES IN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0118390—Date of Invoice: 3119/2004 <br /> 3/19/2004 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> Total for this Involce $ 200.00 <br /> Payment Due Date 411812004 <br /> TOTAL DUE this Billing Period $ 200.00 <br /> 11 JE�CEIVF6 <br /> APR 26 2004 <br /> -JOAQUI/V Co <br /> /1&ZEA f <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 /> 5255.rpt <br />