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SANJOAQUIN COUNTY PUBLIC HFA LTH SERVICES Page 1 <br /> ENVIRONr4ENTAL HEALTH DIVIS <br /> 304 E FEBER AVE-3RD FLOOR <br /> STOCKTON, CA 9 <br /> <br /> 699 <br /> Facility I FA0009699 <br /> Date Printed4/25/00 <br /> LMMMUMMONOMMUM <br /> ROBERT D GOSSARD RE: PG&E WEST LN SUBSTATION <br /> PG&E 4040 WEST LN <br /> 2730 GATEWAY OAKS DR <br /> SACRAMENTO CA 95833 <br /> OWNER: PG&E <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070319---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR 'F0070Q'- <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice <br /> Payment Due Date 512512000 <br /> /O.0 <br /> TOTAL DUE this Billing Period $10:00 <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%of the 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 /> VAYME"'T <br /> pECE1VED <br /> &%Y 2 420 <br /> SAN fOAOU1N COUNTY <br /> PUBLIC HEALTH SEINICES <br /> ENVIRONMENTAL HEALTH 014 <br /> 16 <br /> 1ON <br /> 5255.rpt <br />