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b <br /> SAN dOAOUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAnt Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468-3420 <br /> INVOICE Account ID AR000as7z <br /> Facility ID FA0002602 <br /> Dale Printed 2/5/2002 <br /> KAISER PERMANENTE RE: KAISER PERMANENTE <br /> 7373 WEST LN 7373 WEST LN <br /> STOCKTON CA 95210 STOCKTON CA 95210 <br /> OWNER: KAISER PERMANENTE <br /> Health <br /> Data Prog an Description Hrs Employee Amount <br /> Invoice# IN0090643—Date of Invoice: 112212002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2301 UST STATE SURCHARGE $10.00 <br /> 1/22/2002 2362 Underqround Storaqe Tank EH Opembnq Permit Fee Tank#001 $500.00 <br /> 1/22/2002 2220 SM HW GEN<5 TONSfYF; $200.00 <br /> Total for this Invoice $727.50 <br /> Payment Due Date /712002 <br /> TOTAL DUE this Billing Period $727.50 <br /> Please make Checks PAYABLE to: EHD / Returns 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 /> VERIFIED FOR PAYMENT ENGINEERING <br /> FEB 1 /''<.s2 <br /> (g� FEB 2 2 2002 <br /> E NA <br /> JANET GUYETTE Central Valley <br /> INH #8- �1 i Ea-2 8 2002 <br /> PH#8-454.5369 <br /> :.;+In!JUAUUIN UUUN'IY <br /> '=1 IC '�• '4"FNVICE° <br /> 5255.rpt �� <br />