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SAN JOAQUIN COUNTY PUBLIC HE,' TH SERVICES Page 1 <br /> 6VIRONMENTAL HEALTH DIVISI <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> <br /> Facility ID FA0000556 <br /> Date Printed —4/24/00 <br /> RANDHAWA,DIDAR RE: CHEROKEE LANE SERVICE STA* <br /> RANDHAWA,DIDAR 900 S CHEROKEE LN <br /> 900 S CHEROKEE LN LODI CA 95240 <br /> LODI CA 95240 OWNER: RANDHAWA,DIDAR <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069266---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONSNR $100.00 <br /> 4/19/2000 2301 UST STATE SURCHARGE $32.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#006 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#007 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#008 $170.00 <br /> 4/19/2000 2360 Underground Storage Tank EH Operating Permit Fee Tank#009 $170.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for thislnvoice $822.00 <br /> Payment Due Date 5/2 <br /> TOTAL DUE this Billing Period $822.00 <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%ofthe 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 /> JUN 2 6 2000 <br /> SAN JOAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 5255.rpt <br />