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SAN JOAOUIN COUNTY PUBLIC. LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA <br /> <br /> I AR0003380 <br /> Facility ID FA0003795 <br /> Date Printed 1/31/01 <br /> RE : LIBERTY RURAL FIRE DISTRICT <br /> LIBERTY RURAL FIRE DISTRICT 24124 N BRUELLA RD <br /> 24124 N BRUELLA RD ACAMPO CA 95220. <br /> ACAMPO CA 95220 OWNER: LIBERTY RURAL FIRE DISTRICT <br /> Health <br /> Datc Program Description Hrs Employee Amount <br /> Invoice# IN0079458---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HVV GEN<5 TONSNR $100.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2301 UST STATE SURCHARGE $8.00 <br /> 1/30/2001 2360 Underground Storage Tank EH Operating Permit Fee Tank#004 $125.00 <br /> 1/30/2001 2362 Underground Storage Tank EH Operating Permit Fee Tank#003 $500.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $751.00 <br /> Payment Due Date 3/2/2001 <br /> TOTAL DUE this Billing Period $751.00 <br /> Please make Checks PAYABLE to: PHSIEHD / 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 /> PAYMENT <br /> RECEIVED <br /> FEB 2 12001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />