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±. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME�j Page 1 I' <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 - - <br /> f. Phone: (209)468-3420 <br /> 1° INVOICE AwountlD ARoaaosoo + <br /> I <br /> Facility ID FA0000903 <br />€ i <br /> Date Printed 5/23/2006 <br /> - I <br /> 1 <br /> t .,STOCKTON 1 LODI RV PARK RE : STOCKTON 1 LODI RV PARK <br /> 2851 E EIGHT MILE RD 2851 E EIGHT MILE RD <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : EAVENSON, CLARENCE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0148331 ---Date of Invoice: 5/19/2006 IlllilllllllllllillllllLll IIIIIIIIIIIIIIIIIIIIIIIDIIIDIIIIIillllllllllllllllllllli <br /> I <br /> 5/19/2006 1617 RETAIL MARKET> 1000 SO FT W 1 FOOD PREP $. 200.00 <br /> 5/19/2006 4242 WASTE WATER TX PLANT $ 470.00 <br /> 5/19/2006 4621 15-24 SERVICE CONNECTIONS(CWS) $ 298.00 <br /> Total for this Invoice $ 968.00 <br /> Payment Due Date 2 <br /> I <br /> E TOTAL DUE this Billing Period $' 9 .0 <br /> I <br /> P"Ay--TEN 6 <br />! RECEIVED � <br /> SUN, 0 ' <br /> SAN JQl:i3UIN i.OUN.ITY <br /> 441=ALTq DEPAWMEAT- <br /> . i <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 OES I 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 /> 4 <br /> 525 .r pt <br />