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J <br /> SAN JOAOUIN COUNTY • • Pagel <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209468-3420 <br /> INVOICE Account ID AR0018053 <br /> Facility lDFA0011053 <br /> Date Printed 2/6/2002 <br /> CAMILLO(CAM)VALLE RE: CHAMPION <br /> CHAMPION 1220 VANDERBILT CHR <br /> 1301 N EUCLID AVE MANTECA CA 95336 20 <br /> PRINCETON IL 61356 OWNER: GARDNERDENVER INC <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IND092404—Date of Invoice: 1/2212002 —_--__—._- <br /> 1/2212002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONS/YF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 8/2002 <br /> TOTAL DUE this Billing Period $217.50 <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 Invoice Date and each 30 thereafter <br /> 5255.rpt <br />