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0313112003 11:46 464013P-, ENVIRONMENTAL }��'�LTH PAGE 04 <br />SAN JUAWIN h.-UUN I Y) F 1 Page 1 <br />ENVIRONMENTAL HEALTH DEPAR1QNT,, f, - <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 _ tt <br />Phone: (209) 4683420 s w w <br />INVOICE�. A=unt 10 AR0009063 <br />r: <br />w,,. _ Fadllry 1� FA40013m91 <br />#, Data Prinlad 3/27/2003 <br />RE .; A"1788RT #-�-` <br />MARTHA LARSON, LIC DEPT 2350 W }� AN LN <br />WALMART 0789 S ... x.. -.:._ LODI, CA 99242 r <br />J301 SE 10TH ST _ _ w .— <br />' BENTONVILLE, AR•'72716-0555 "" _ - OWNER : 'WALMART, INC .. <br />Health <br />,� .yx 'r - � i1fTtQl,iflt <br />Date pin., oesmiptlan <br />I n oioe q IN0104036 —Date of Invoice: 212712603 <br />2127J2003- 2220 SM HW GEN {5 TONSIY t $ 217.00 <br />i; '2!27!2003 2399 UNIFIED PROGRAM FAG STATE SERVICE FEE $ 17"50 <br />..rr .�.., .. ;, "� ,r .... _ -,M.. ($ 200"00) <br />3115!2003 9851 Gredit Adjustment <br />`x r <br />Total for th;% Invoice 5 17.60 <br />payment Due Date 31291210133 <br />c `+� « 's- TDTAL DUE tills Sillino� Porion $ 1.50 <br />AbA <br />X. 2003 <br />I _ <br />' �" .. a �..�� '�'.w-. ..,a.rsr .�F��, nW4 .moi•. iris .rn....� .+�� V6� ��— e� ""�.. <br />SAS 10A0,11,,1 <br />1;,! <br />.,'I 1Q1'> <br />(•!i!lii'l:iltiltil <br />please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYWNT <br />For all SERVICE FEES <br />Penalties ww bs awed to all Permit Feer. For OE51 HMMP Fees penalties will be added at the Rata of t0°/. <br />at the Rate of 1000/9 of the GM FeO Penalties � be the hof 10% � D� after the Invoice Date and each 30 Days therea <br />30 Days after the Due Dater 46 <br />525S.rpt , <br />