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SAN IUAUUIN GUUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEN— Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone <br /> AR0003263 <br /> Facility ID FA0003685 <br /> Date Printed 11/25/2002 <br /> BOYETT PETROLEUM RE : BOYETT PETROLEUM <br /> PO BOX 576277 419 S MAIN ST <br /> MODESTO, CA 95357-6277 MANTECA, CA 95336 <br /> OWNER : BOYETT, STAN AND SON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0101446---Date of Invoice : 11/25/2002 <br /> 11/15/2002 9996 APPLY DISCOUNT is 150.00) <br /> 11/25/2002 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> Total for this Invoice $ 50.00 <br /> Payment Due Date 12002--� <br /> TOTAL DUE this Billing Period 50.00 <br /> 12-131 I D 2- <br /> P,AYMEN T <br /> RECEIVED <br /> nc 12 2002 <br /> SAN JOAQUIN CnI INTY <br /> PUBLIG HIP 10 (;,In�WiSlnPt <br /> ENNRON�nFrl'` <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 In­ice Date and each 30 Days thereafter <br /> 5255.rpt <br />