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SAN JOAQUIN COUNTY PUBLIC- "ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIS JN <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA <br /> <br /> 968 <br /> y <br /> Facilit ID FA0010968 <br /> Date Printed 2/21/01 <br /> BOB KING RE : CERTAINTEED CORPORATION- APAC <br /> CERTAINTEED CORPORATION-APACHE P 300 S BECKMAN RD <br /> 300 S BECKMAN RD LODI CA 95240 20 <br /> LODI CA 95240 <br /> OWNER: CERTAINTEED CORPORATION <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0081104---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONSNR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110. 0 <br /> Payment Due Date 23/2001 <br /> TOTAL DUE this Billing $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will e added to all Permit I-ees Fora I 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 /> RECEIVE® <br /> FEB 2 12001 <br /> SAN JOAOI.`ii'J;GUNNY <br /> PUBLIC HEALli1 SEF'VICES <br /> ENVIRONMEN'[AL HLALIH UjI'ISiON <br /> 5255.rpt <br />