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On" JLPnyUiN UUUNIY PUBLIC HEALTH SERVICES Report $520`0 <br /> EN1:7,CNMENTAL HEALTH DIVI IN <br /> 304 E,•14EJBER AVE — 3RD FL lvw ' <br /> PO k— 388 <br /> SfOGKTON. CA 95201-0388 209-468-3420 <br /> I. P4I: Cs- <br /> Billing <br /> Account # Date <br /> TO : QUALEX _ <br /> 555 INDUSTRIAL PARK DRIVE 0010260 �11 /01 /95 <br /> MANTECA , CA 95336 — <br /> ATTN : QUALEX Facility ID <br /> RE : QUALEX 007093 <br /> 555 INDUSTRIAL PARK DRIVE MANTECA <br /> PLEASE RETURN INVOICE NOTICE WITH PAYMENT <br /> Health <br /> Date Program Description Amount <br /> Invoice 0 023887 <br /> 11/01/95 2227 GEN 5(25 TONS PERMIT FEES $ 164 . 00 <br /> 17 <br /> L7 tal +for ' ,I' s invoice : 164 . 00 <br /> W ._.G't� f}% ,ayment Due : �- 2 9 <br /> ( e <br /> PENALTIES will be ASSESSEQ_ on all—A.NNPAL PERMITS <br /> at the rate of_; 100�; of� $h aspi,1F,E <br /> 30 days after the Payment DIE DATE . <br /> u <br /> PAYMENT <br /> RECr7jVrn <br /> NOV - 9 1995 <br /> SAN J(-'A0'-'!N C'CUb+-r <br /> PU8LIQ HEALTH SERVICES <br /> ENVIRpNMENTA`HEALTH DIVISION <br /> f <br /> r <br />