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SAN JOAQUIN COUNTY PUBLIC HT "H SERVICES Page 1 <br /> • ENVIRONMENTAL HEALTH DIVISi. <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account IDIA 0003258 <br /> Facility III FA0003680 <br /> Date Printed 4/24/00 <br /> ROBERT C <br /> CALIFORNIA TANK LINES INC 3105 S ELDORADO ST <br /> PO BOX 6245 STOCKTON CA 95206 <br /> STOCKTON CA 95206 <br /> OWNER: ELLIS,ROBERT A JR <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069501 ---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2232 HAZARDOUS WASTE CA FACILITY $648.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $758.00 <br /> Payment Due Date 5/24/2000 <br /> TOTAL DUE this Billing Period $758.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <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 /> PAI M P4T <br /> RECEIVED <br /> MAY 4 2W <br /> SAN JOAOUIN 4'UuN tY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL Hf-ALTH DIVISICrq <br /> 5255.rpt <br />