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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR-& Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> OICE Account ID AR0016386 <br /> Facility ID FA0009386 <br /> .� Date Printed 5/5/2003 <br /> `�/ <br /> KS SOLUTIONS RE : KS SOLUTIONS <br /> P.O. BOX 504 28135 E COPPEROPOLIS RD <br /> ELVERTA, CA 95626 FARMINGTON, CA 95230 <br /> OWNER : FIELD, DAVID <br /> Date Health I <br /> Program Descriptioh Amount <br /> Invoice# IN0106912---Date of Invoice: 5/5/2003 <br /> 5/5/2003 2220 SM HW GLEN 15 TONS/YR $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 6/4/2003 <br /> TOTAL DUE this Billing Period $ 200.00 <br /> Please make Checks PAYABLE to: 'EHD' _ Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For CES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />