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SAN.jS)AQUIN COUNTY PUBLIC HE,&r.TH 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 ID AR0017968 <br /> F <br /> <br /> <br /> AINTEED CORPORATION-APACHE 300 S BECKMAN RD <br /> 300 S BECKMAN RD LODI CA 95240 20 <br /> LODI CA 95240 OWNER: CERTAINTEED CORPORATION <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071350---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date i6J91Z0 <br /> TOTAL DUE this Billing Periodh $110.00 <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 /> PE,CIE ED <br /> MAY 9 20 <br /> SAN JOAQUIN 1..:�uNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />