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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report #5255 <br /> ENVIRONMENTAL HEALTH DIVI N <br /> 445 N SAN JOAQUIN STREET, <br /> PO BOX 388 <br /> STOCKTON . CA 95201-0388 <br /> Accounting Office : 209 468-0340 <br /> I <br /> it% C: C.`.. C.7 4..A r'1 t� 't.:. 't.: F:hT. fTl lT t7 t'- <br /> I I <br /> I I <br /> TO : DAVID DEDINI FARMS INC <br /> 14425 CLINTON SOUTH AVE Account # 0003243 <br /> RIPON , CA 95366 <br /> i <br /> ATTN : DAVID DEDINI Facility ID 003665 <br /> RE : DAVID DEDINI FARMS INC Billing Date : 01/11/95 <br /> - 11x425 S-- CL-I-NTO•N� A-VE --RI9N-P1i <br /> ' PLEASE RETURR THIS STATEMENT WITH YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> I <br /> I � <br /> Invoice # 016923 -- Data of Invoice : 01/11/95 <br /> 01 /11/95 2323 Underground Tank Permit Fee $170 . 00 <br /> ----------------------------- <br /> ----------------------------- ----- <br /> Total for this invoice : $170.00 <br /> If this INVOICE has been Paid . Please Disregard this Notice . <br /> . . . and DEDUCT thA 'Amount Paid from the TOTAL ,DUE <br /> I <br /> PAYMENT <br /> RECEIVED <br /> JAN 20 u,..y <br /> SAN JOAQU!Pd (.'.•.,;NTY <br /> PUBLIC HEALTH "-�'/ICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> I <br /> Penalties will be added on all PERMIT FEES <br /> at the rate of 100% of the Base Fee <br /> 60 days after the invoice date . <br /> For all SERVICE FEES ,penalties will <br /> - __ be added - at the ra-te- of -10% <br /> 60 days past the invoice date and <br /> each 30 days thereafter . <br /> 'TOTAL DUE this Billing Period: _$170 .00 <br /> I <br /> Aiccount 1-30 ' Days_ 120 Days121+ Plus <br /> Summary -- <br /> 170 . 00 0 . 00 0 . 00 0 . 00 0 . 00 <br /> � I <br /> � I <br /> � I <br />