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SAN JOAQUIN COUNTY PUBLIC H H SERVICES Page 1 <br /> .ENVIRONMENTAL HEALTH DIVISIO <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account l AR0014918 <br /> Facility I FA0007997 <br /> Date Printed 4/3/00 <br /> KATIE HOWER RE: MANSFIELD PROPERTY <br /> MANSFIELD PROPERTY/CHEVRON PIPELI 13880 W GRANT LINE RD <br /> PO BOX 6012 SAN RAMON CA 94583 <br /> SAN RAMON CA 94583 OWNER: MANSFIELD,DARLENE M <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0067909---Date of Invoice: 2/4/00 <br /> 12/1/1999 2960 315 REPORT REVIEW 0.7 INFURNA $54.60 <br /> Total for this Invoice $54.60 <br /> Payment Due Date 5/3/2000 <br /> TOTAL DUE this Billing Period $54.60 <br /> i <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT ' <br /> Penalties will addedtoa Permit Fees Fora <br /> at the Rate of 100%ofthe Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> p4ymf-to <br /> pFCFjVEC3 <br /> APR 3 -20 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />