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Page 1 <br /> ' SAN J(AAOUIN COUNTY PUBLIC) LTH SERVICES <br /> ENVIRONMENTAL HEALTH DIMS ON <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account ID AR0003195 <br /> FA0003617 <br /> Facility ID <br /> Date Printed <br /> 1/31/01 <br /> RE : CAL WEST CONCRETE CUTTINGS INC <br /> 1153 VANDERBILT CHR <br /> CAL WEST CONCRETE CUTTINGS INC MANTECA CA 95336 <br /> 1153 VANDERBILT CR <br /> MANTECA CA 95336 OWNER-. BRICK,JOSEPH <br /> Health Hs Employee Amount <br /> Date Program Description <br /> Invoice# IN0079885^-Date of Invoice: 1130101 <br /> $100.00 <br /> 1130/2001 2220 SM HW GEN<5 TONS/YR $10.00 <br /> 1/3012001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE Total for this Invoice $11 0 <br /> Payment Due Date 31212001 <br /> TOTAL DUE this Billing Period $110.00 <br /> / Returns Copy of This STATEMENT with Your PAYMENT <br /> Please make Checks PAYABLE to: PHS/EHD <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees Penalties will be added at the Rate of 10 <br /> at the Rate of 100%of the Base Fee60 Days after the Invoice Date and each 30 thereafter <br /> 30 Days after the Due Date <br /> PAYMEN i <br /> RECEIVED <br /> FEB 9 M1 <br /> SAN JOAOUIN G— <br /> PUBLIC HEW SFiW' . <br /> ENVIRONNIENTiAl hLA In Ldv,J,ON <br /> 5255.rpt <br />