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OCT 29 2004 1 : 51PMLASERJET 3200 p. 2 <br /> H <br /> SAN JOAQUIN COUNTY � • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0009206 <br /> Facility ID FA0006743 <br /> Date Printed 1012512004 <br /> KEITH SHEETS RE : HOLT LEAK SITE <br /> CH2M HILL COOK RD <br /> 155 GRAND AVE STE 1000 HOLT, CA 95234 <br /> OAKLAND, CA 94612 <br /> OWNER; SANTA FE PACIFIC PIPELINE PTRS <br /> Health Amount <br /> Date __ Program . Description <br /> Invoice# IN0124485­Date ofinvoice: 9!2812004 I`��'II��A�I'p���I�1��IIf��1�III�III�I��IIII���IIII����III�I�III�II���IIII��� <br /> Hrs Employee <br /> 9!2312004 2960 312-CONSULTATION 0.50 WONG $ 46.500.50 WONG $ 46.50 <br /> 9123!2004 2960 315-REPORT REVIEW 0 50 WONG $ 46.50 <br /> 9/2712004 2960 312-CONSULTATION 1,00 WONG $ 93.00 <br /> W2712004 2960 315 REPORT REVIEW IS 279.00) <br /> 9/28/2004 9999 PAYMENT 3.00 WONG $ 279.00 <br /> 9/28!2004 2960 310-FIELD CONSULT <br /> Total for this Involce $ 232.50 <br /> Payment Due Date 11/2412004 <br /> TOTAL DUE this Billing Period $ 232.50 <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees For OES 1 HMMP Fees penalties will be added at the Rate of 10% <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 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> ,1255.rpt <br />