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SAN JOAQUIN COUNTY <br /> ENVIRON°\.ENTAL HEALTH DEPART Page 1 <br /> J04 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0022451 <br /> Facility ID FA00 3-435 <br /> Date Printed 9/19/2002 <br /> IRV JENKINS RE : SHELL PIPELINE (FORMER) <br /> SHELL OIL CO HANSEN RD <br /> 910 LOUISIANA ST RM 4438 TRACY, CA 95376 <br /> HOUSTON, TX 77002-4916 <br /> OWNER : CORLISS, DAVE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0086976--Date of Invoice: 9/4/2001 <br /> Hrs Employee <br /> 8/31/2001 2950 315-REPORT REVIEW 1.10 INFURNA $ 97.90 <br /> 9/4/2001 9999 PAYMENT ($ 261.00) <br /> 10/4/2001 2950 312-CONSULTATION 0.30 INFURNA $ 26.70 <br /> 1/22/2002 2950 312-CONSULTATION 0.40 INFURNA $ 35.60 <br /> 1/23/2002 2950 310- FIELD CONSULT 1.90 INFURNA $ 169.10 <br /> 1/25/2002 2950 312-CONSULTATION 0.60 INFURNA $ 53.40 <br /> 1/28/2002 2950 315-REPORT REVIEW 0.90 INFURNA $ 80.10 <br /> 2/12/2002 2950 310-FIELD CONSULT 1.30 INFURNA $ 115.70 <br /> )� Total for this Invoice $ 317.50 <br /> "y,��7/y �.✓' Payment Due Date 9/29/2002 <br /> y Y� / TOTAL DUE this Billing Period $ 317.50 <br /> PAYMENT <br /> RECEIVED <br /> SEP 192002 <br /> SAN CUNTY <br /> P BLICC UIN HEOALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Please make Checks PAYABLE to: '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 Days thereafter <br /> 5255.rpt <br />