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14 <br /> SAN JOAOUIN COUNTY I EIC HEALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOC <br /> <br /> AR0017686 <br /> FA0010686 <br /> Facility ID <br /> Date Printed 2/1/01 <br /> ED PEREZ RE : ECKERT COLD STORAGE <br /> ECKERT COLD STORAGE (ESCALON) 19901 S MCHENRY AVE <br /> 199015 MC HENRY AVE ESCALON CA 95320, <br /> ESCALON CA 95320 OWNER: ECKERT COLD STORAGE <br /> Health <br /> IDate Program Description Nrs Employee Amount <br /> Invoice# IN0080884---Date of Invoice: 1/30/01 <br /> 1/30/2001 2220 SM HVV GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total forth! $110.00 <br /> Payment Due Date /3/2001 <br /> TOTAL DUE this Billing Period $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 /> PAYMENT <br /> RECEIVED <br /> FEB 2 6 2001 <br /> SAN JOAUN COUNTY <br /> PUBLICO HEALTH SERVICES <br /> ENVIROMPE'rlTAI,HEALTH DIVISION <br /> 5255.rpt <br />