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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0024515 <br /> Facility ID FA0014435 <br /> Date Printed 10/22/2004 <br /> SHELLPRO INC RE : SHELLPRO INC <br /> PO BOX 2680 18378 ATKINS ROAD <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : VIRGIL SUESS❑CALVIN SUESS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0124459---Date of Invoice : 9/27/2004 I IIIIIII IIIIII III VIII IIIII IIIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 IIII <br /> 9/27/2004 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> Total for this Invoice $ 50.00 <br /> Payment Due Date 10/27/2004 <br /> TOTAL DUE this Billing Period $ .0 <br /> RECEIVED <br /> w 2 2 2001 <br /> SAN JOAQUIN COUNTY <br /> ENVIRTAI- <br /> ONMF TMENT <br /> HEALTH DEPAR <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.i-pt <br />