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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE AccountlD AR0020750 <br /> FA0012578 <br /> Facility ID <br /> Date Printed 10/20/00 <br /> CHET FARRIS RE : CHETS AUTO <br /> CHETS AUTO 545 E MINER AVE <br /> 24401 N SUTTENFIELD RD STOCKTON CA 95220 <br /> ACAMPO CA 95220 OWNER : FARRIS,CHET <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice 8 ING075065•-•Dato of Invoice: 812/00 <br /> 8/3/2000 9999 PAYMENT -$702.00 <br /> 10/5/2000 9999 PAYMENT -$359.40 <br /> 8/2/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 1.5 BRIGGS $130.50 <br /> 8/3/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 0.5 BRIGGS $43.50 <br /> 8/8/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 1.0 BRIGGS $87.00 <br /> 8/10/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 0.2 BRIGGS $17.40 <br /> 6/16/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 4.0 PEDRAZA $348.00 <br /> 8/24/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 0.5 BRIGGS $43.50 <br /> 8/25/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 3.5 BRIGGS $304.50 <br /> 8/31/2000 2304 034 UST PERM CLOSURE PLN CHCK/INSPECTION 1.0 BRIGGS $87.00 <br /> 9/12/1000 2380 034 UST PERM CLOSURE PLN CHCKANSPECTION 1.0 BRIGGS $87.00 <br /> Total for this Invoice $87.00 <br /> Payment Due Date 11/19/2 <br /> TOTAL DUE this Billing Period $ 7.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a 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 /> PAYMENT <br /> RECEIVED <br /> NOV 3 2000 <br /> CHESTER W. FARRIS 90-103/1211 5942 SAN JOAQUIN COUf4T1' <br /> FARRIS FAMILY TRUST 21397937 PUBLIC HEALTH SERVICES <br /> LIC. 20749031 ENVIRONMENTAL HEAIThi QI\'',JIi1r <br /> 24401 N. SUTTENFIELD RD. PH. 209-339-8401 /19-3�'�C� <br /> ACA PO, CA 95220 <br /> P#5il/ 87 ao <br /> e HT1 gilCpa <br /> ¢ 11Ls Bien <br /> HEADQUARTERS <br /> ERS <br /> ton <br /> 301E.MIME Are.,.,Stadion,CA 99303 <br /> I: L2110L0371: 591, 2- 2L391 - ?006 <br />