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,SAN YOAQUIN COUNTY PUBLIC H TH SERVICES Page 1 ` <br /> ENVIRONMENTAL HEALTH DIVISe <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 INVOICE <br /> Account IDE""'0415 <br /> Facility ID FA0012503 <br /> Date Printed 5/4/00 <br /> LwaMEMMMMMIMMA <br /> RE: SAN JOAQUIN RIVER CLUB <br /> SAN JOAQUIN RIVER CLUB 30000 KASSON RD <br /> 30000 KASSON RD TRACY CA 95376 <br /> TRACY CA 95376 OWNER: SAN JOAQUIN RIVER CLUB <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071915—Date of Invoice: 514100 <br /> 5/4/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 5/4/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Duc Date 61 0 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees Forall 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 atter the Invoice Date and each 30 thereafter <br /> MAY 15M <br /> SAN AOAOUIN COt'M18Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMEWAL 74EA'UTH CAOSI ON <br /> 5255.rpt <br />