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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM T • Page 1 <br /> M <br /> 304 E WEBER AVE -3RD FLOOR n 4 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 Post-it®Fax Note 7671 Dateaq of pagesF <br /> To L From fi U <br /> mcr L- <br /> 'NV Co./Dept. CNPUYOCO. JL° D- AR0022571 <br /> L <br /> Phone# Phone#dO 033 J� FA0013491 <br /> Fax q ZS G 2�j77T Fax# <br /> O V v 7/28/2003 <br /> COCHRAN, BOB RE : CHEVRON SERVICE STATION #200794 <br /> CHEVRON SERVICE STATION#200794 4747 N WEST LN <br /> 6001 BOLLINGER CANYON RD RM #V1140 STOCKTON, CA 95202 <br /> SAN RAMON, CA 94583 <br /> OWNER : CHEVRON PRODUCTS CO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0106684—Date of Invoice: 4/23/2003 <br /> Hrs Employee <br /> 3/14/2003 2950 315-REPORT REVIEW 0.80 DUNCAN $ 71.20 <br /> 3/19/2003 2950 310-FIELD CONSULT 2.50 DUNCAN $ 222.50 <br /> 3/20/2003 2950 310-FIELD CONSULT 0.80 DUNCAN $ 71.20 <br /> Total for this Invoice $ 364.90 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 364.90 <br /> PAST DUE! <br /> WE W PAYOUR <br /> YMENT TODAY! <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 DES/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 />