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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Account ID AR0005145 <br /> Date Printed LMONOMMOMMMMM <br /> JIM THORPE OIL INC <br /> THORPE,JIM <br /> PO BOX 357 �Re: 2249 WATERLOO RD STOCKTON <br /> LODI CA 95241SR0039349-UST REMOVAL <br /> Health <br /> Date Program Description Has Employee Amount <br /> Invoice# IN0123782--Date of Invoice: 8/24/2004 <br /> 8/31/2004 2304 034 UST PERM CLOSURE PLAN CHECK 0.5 JACKSON $46.50 <br /> 9/7/2004 2304 034 UST PERM CLOSURE PLAN CHECK 1.0 JACKSON $93.00 <br /> 9/16/2004 2304 134 UST REMOVAL INSPECTION 1.5 JACKSON $139.50 <br /> 10/11/2004 2304 034 UST PERM CLOSURE PLAN CHECK 1.5 JACKSON $139.50 <br /> 10/13/2004 2304 034 UST PERM CLOSURE PLAN CHECK 0.2 JACKSON $18.60 <br /> 10/18/2004 2304 034 UST PERM CLOSURE PLAN CHECK 0.5 JACKSON $46.50 <br /> 8/24/2004 9999 PAYMENT -$279.00 <br /> Total for this Invoice 204.60 <br /> Payment Due Date 4 <br /> PAYMENT <br /> RECEIVED <br /> JAN 3 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> 5256.rpt <br />