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AN j0AQU;4 COUNTY PIJr;LCTH SER`JT_CC' E � }'export X5255 <br /> ENVIR ONMEPdTAL F•lEALT& OI,1 N ^t41nt tl,C A 6t/:r7 /U7 <br /> 304 E WESER AVENUE -- SR OOR <br /> T0 : TRE A7 E K CRA CO <br /> 202 VAL. DCRVIN PRK.WAY 'sTF=,) AC (-,C-U1-1t if, 0009556 <br /> TOCKTON , CA , 9S206 �._. .�._....._..__. ..� ... _. :.<_ _� _�.., _ <br /> ATTN E41K FRI DR'ICH � � F cilit TD 00685�2� <br /> RE : OCCIDENTAL CHEMICAL CORP <br /> 1904 W CHARTER WY STOCKTON <br /> PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT /7`f <br /> Service Activity <br /> Data Description Hrs Employee Amount <br /> Invoice # 036060 -- Date of Invoice : 03/18/97 <br /> 02/26/97 2960 REPORT REVIEW 0 . 9 INFURNA $70 . 20 <br /> 04 /07 /97 PAYMENT - d:-70 . 20 <br /> 03 /07 /97 2960 REPORT REVIEW 1 . 4 INFURNA $109 . 20 <br /> 05 /12 /97 PAYMENT j.-109 . 20 <br /> 404 /23/97 2960 RE:POOT REVIEW 2 . 0 INFURNA i D`��7�7�r�� $1F6 . 00 <br /> 04 /24 /97 2960 REPOPT REVIEW 1 .. 9 INFURNA Coll 118 . 20 <br /> 05 /05 /:: 7 2960 FIELD CONSULT 0 . 5 INFURNA $39 . 00 <br /> 05 /06 /97 2960 CONSULTATION 0 . 4 TNFURNA V1 . 20 <br /> 05 /07/97 2g6O FIELD CONSULT 1 . 4 INFURNA $109 . 20 <br /> 05/OS/97 2960 FIELD CONSULTx' 1 :. 0 INFURNA $ 78 . 00 <br /> OS/13/97 2960 FIELD CONSULT 1 . 0 INFURNA *78 . 00 <br /> 05/30/97 2960 FIELD CONSULT 1 . 6 INFURNA $124 . 80 <br /> --T---` <br /> Total for this invoice : $764 . 40 <br /> Payment DUE DATE 07/28/97 <br /> If this INVOICE has been Paid, Please Disregard this Notiee . . . <br /> PENALTIES for all FEES for SERVICE will be ASSESSED <br /> PENALTIES will be ASSESSED on all. ANNUAL PERMIT Fees at the rate of 10% of the Service Fee <br /> at the rate of 100% of the Base Fee 30 days after the Payment DUE DATE <br /> 30 days after the Payment DUE DATE, and fA£N-30 days thereafter: <br /> TOTAL DUE this Billing Period : <br /> Please make Checks PAYABLE to: PH`' !r*.,!gi t A � <br /> r �� <br /> AUL 211997 <br /> JOAQUIN COUN" <br /> PUAN <br /> B C HEALTH SERVICES <br /> F11,fiorlNME�AIHEAL- <br /> .f jjDIVISION <br />