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Page 1 <br /> a01VOIN <br /> 304 E WEBER AVE-3RD F OOR <br /> STOCKTON. CA 95202 <br /> 209468-3420 <br /> INVOICE Account I <br /> <br /> <br /> <br /> 18600 CORRAL HOLLOW RD <br /> 15751 TESLA TRACY CA 95376 <br /> PER CALL 8/2 Q CK FRM STATE OF CA <br /> LIVERMORE, <br /> A 94550 OWNER: STATE OF CALIFORNIA <br /> Health <br /> Date Program Descriptioi Hrs Employee Amount <br /> Invoice# IN0079844--Date of Invo ce: 1130/01 <br /> 1/30/2001 2226 SM HW GTN<5 TONS/YR 5100.00 <br /> 1/30,12001 2399 UNIFIED F ROGRAM FAC STATE SERVICE FEE 510.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3tZT <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks AYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYN'1ENT <br /> Penalties will be addec 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 ff e Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAY <br /> RECEIVED <br /> APR 1 12001 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />