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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />kNyX'4NMENT,AL HEALTH DIV ON <br />jO4 E: WEBER AVENUE — 3RD . ,OOR <br />STOCKTON, CA 95202 <br />Accounting Office: 209 468-.3420 <br />TO: CALIF NATL GUARD/COMBINED SUPP <br />8020 S AIRPORT WAY <br />STOCKTON. CA 95206-3999 <br />ATTN: CA ARMY NATL'GUARD/COMBiNES,SU <br />RE: CALIF NATL GUARD/COMBINED SUPP <br />80.20 S AIRPORT -WAY <br />STOCKTON <br />Report 15255 <br />?ment Printed: 02/25/99 <br />jt RECEIVED <br />T. CAST -AP <br />P 01 <br />99 MAR I I All 10: 23 <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />Account # 0009076; <br />Facility ID 006696• <br />!_ ___ <br />Service Activity <br />Date Description Hrs Employee Amount <br />Invoice 0 054316 -- Date of Invoice: -01/28/99 <br />01/28/99 2227 GEN 5(25 TONS PERMIT $1,400.00 <br />01/28/99 2399 UNIFIED PROGRAM FAG STATE SERVICE FEE $10.00 <br />Total for this invoices $1,410.00 <br />Payment DUE DATE 83/28/99 <br />If this INVOICE has been Paid, Please Disregard this Notice <br />PAYMA E W <br />MAR 2 3 1999 <br />SAN JOAQUfN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL. HEALTH DIVISIoi,I <br />For all SERVICE FEES penalties will <br />Penalties will be added on all Permits be added at the rate of 108 60 days <br />at the rate of 1008 of the Base Fee 30 past invoice date and each 30 days <br />days after the due date. thereafter. <br />TOTAL DUE this Billing Period: <br />• Please make Checks PAYABLE to: PHS/EHD z <br />