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SAN JOAQUIN COUNTY PUB IC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH IVIS <br /> 304 E WEBER AVE-3RD FLO R <br /> STOCKTON, CA 9520 <br /> <br /> <br /> <br /> <br /> <br /> AL HOLLOW RD <br /> 15751 TESLA RD TRACY CA 95376 <br /> PER CALL 8/2 REQ CK RM STATE OF CA OWNER: STATE OF CALIFORNIA <br /> LIVERMORE,CA 9455 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0070120---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 PRC GRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 7 0 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PA ABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added 19 all Pennit Fees For all SERVICE FEES <br /> at the Rate of 100%orthe 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 /> eAYIVIL.I'd I <br /> JUN 2 <br /> ;AN JUAQUIN COut, Y <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />