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SAN JOAQIJIN„LOCAL HEALTH,-DISTRICT, <br /> ENVIRONMENTAL HEALTW0lV,i'STON <br /> 1 <br /> 1.601 E.' HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA <br /> \ O (209) 466-6781 <br /> \\\ V, I BILL FOR SERVICE(S) LISTED BELOW <br /> Jack Tone Rd./Hwy. '120 Mtca/AiP0A7E-_CA <br /> ADDRESS ---------------------- <br /> DBA/PROPERTY OWNER---fal--oris,-------^------- -----'--'--------- ---------- <br /> W 111 am Tank Lines <br /> BILI. T0: NAMF-----i-----£----------------------------j-Y-- <br /> ADDRESS___ 2941 Nam Drive--------------------------- <br /> Stockton, <br /> __________________ _______Stockton, CA 95206 <br /> CITY/STATE---------------------------------- ZIP----- <br /> PROGRAM: HdZ8rd0U5 Waste C12a11_Ue-__--_- <br /> DESCRIPTION OF SFRVICE(S) :--Site_assessment end sam�ltn�_verification ___--_ <br /> ---------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------- <br /> DATE OF SERVICE(S) TIME SPENT LOCATION <br /> 3J27/87__----- 4 hrs. _Hwy 120/premise ........_............... <br /> ---------- - - ------- <br /> iaoll 7 ------ 8 hrs. - N <br /> ----------- <br /> TOTAL TIME 12_hrs____ @ 115------ PER HOUR = -$42�__ BALAN(:E DUE <br /> BILLING DATE---4(10/87_- PAYMENT MUST BE RECEIVED BY_- 5/10/87---_--- <br /> RETURN ONE COPY OF THIS BILL ALONG WITH PAYMENT. MAKE CHECKS PAYABLE TO THF <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT. <br />