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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES Report 15255 <br /> ENVIRONMENTAL HEALTH DIVISION Statement Printed : 03/22/99 <br /> 304 E WEBER AVENUE — 3RD FLOOR <br /> STOCKTON , CA 95202 <br /> Accounting Office : 209 468-3420 <br /> 7[ n .✓ o i C-- <br /> TO : <br /> rTO : RO—TILE _ <br /> <br /> <br /> ATTN : CARY & TERRI HALL Facility ID 003945 <br /> RE : RO—TILE <br /> 310 CLUFF AVE <br /> LOOI <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br /> Service Activity <br /> Date Description Hrs Employee Amount <br /> Invoice ! 953536 -- Date of Invoices 12/24/98 <br /> 12/24/98 PAYMENT $-234 . 00 <br /> 01/06/99 2380 UST PERM CLOSURE PLN CHCK/INS 1 . 0 TREVENA $78 .00 <br /> 01/07/99 2380 UST PERM CLOSURE PLN CHCK/INS 2 . 5 SASSON $1.95.00 <br /> -------------------------------- -- <br /> Total for this invoice: <br /> Payment DUE DATE ! 99 <br /> If this INVOICE has been Paid, Please Disregard this Notice <br /> r., <br /> pPR 191 <br /> PU6L1G HEALfH.',, �. <br /> ENVIHGNMEMAL W"' <br /> for all SERVICE FEES penalties will <br /> Penalties will be added on all Permits be added at the rate of 1O% 60 daps <br /> at the rate of 1013 of the Base Fee 30 past invoice date and each 31 daps <br /> daps after the due date. thereafter. <br /> TOTAL DUE this Billing Period : $39 . 00 <br /> Please make Checks PAYABLE to: PHS/EHD <br />