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:SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DIVIST^N Stat= nent Printed : 12/18/96 <br /> 304 E WEBER AVENUE - 3RD F%, dR <br /> PO BOX 388 <br /> STOCKTON , CA 95201-0388 � <br /> I Accounting Office : 209 468-3420 { <br /> r-a * r d.r :3E.. C-- C'e <br /> I <br /> TO : DAVID DEDINI FARMS INC <br /> 1 <br /> 4425 CLINTON SOUTH AVE Account l 0003243 <br /> RIPON , CA 95366 <br /> A71N : DA',/TD DEDINI FacilityID 003665 <br /> RE : DAVID DEDINI FARMS INC 1 <br /> `Ct I N T?N A V_ -R T—P-Md <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description H r s Employee Amount <br /> Invoice M 034459 -- Date of Invoice : 12/17/96 Rot Uv-6'VA-e <br /> 12/17/96 2323 UST Permit Fee Tank d3 TA405201 ?,t' ✓ x'� G . 0+C <br /> -------------------- <br /> Total for this invoice : $170 . 00 <br /> Payment DUE DATE 01/18/97 <br /> If this INVOICE has been Paid, Please Disregard this Notice . . <br /> I <br /> PAYMENT <br /> JAN 2 4 1992 <br /> SAN JOACUIN CCUNTV <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all ANNUAL PERMIT Fe at the rate of If% of the Service Fee <br /> at the rate of lift of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE. and EACH 30 days thereafter. <br /> TOTAL DUE this Billing Period : <br /> Please Make CHECKS PAYABLE to: fcr f 0 .".S::G f' N ': f--0 IT:ai <br /> $170 00 — $0 00 $0 . 0 $0 .^00 _ $0_00 _ $170 . 00 <br /> 0 to 36 days 31 to 60 days 61 to 90 days 91 to 120 days ) 120 days Actount AAA <br /> Balance <br /> i <br />