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OP uIN O � ME <br /> SAN JOAQUIN COUNTh'! RPECEIVED <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> AUG 9 2007 <br /> Administrative Hearing Fee Payment InformatiotrsAN JOAQUIN CouNrr <br /> HEALTH DEP <br /> ENVIRONMENT, <br /> TAL <br /> A <br /> To Be Filled Out By Staff Only MENT <br /> Facility ID #: 2 l g P/R ID#: !(r I C-2-,D <br /> Account ID#: 01 �12k g 1 Invoice#: L SI PS <br /> Facility Name: (j EST \\ <br /> FacilityAddress: 2 E w 4- a lr&0 S c-c--m nJ <br /> Employee#: (02-1 -S Service Code: 552 <br /> Program Element: 7 to Z(o Date of Hearing: <br /> To Be Filled Out By Accounting Only <br /> Payment Date I Fee Amount I Amount Paid Check#/Cash Rec'd B <br /> 1 `il b q I $ i 010-CV Is oo 1 3 2 1 N Cs <br /> EHD 48-02-031 Admin Hearing Fee Payt. <br /> 11/13/2002 <br />