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P{t V!/y <br /> SAN JOAQUIN COUNTY PAYMENT <br /> ENVIRONMENTAL HEALTH DEPARTMENT RECEIaEp <br /> 1...... . 1Y1H1 1 v L <br /> Administrative Hearing Fee Payment InformatiorLAN�CA00"4 COUNTY <br /> Staff Use Only: Hca TNOMENTAL <br /> D QARZM�NT <br /> Facility ID #: PIR ID#: 53� <br /> -AccountIM: Invoice#: <br /> Facility Name: <br /> Facility Address: ,7 e <br /> Employee#: Service Code: <br /> Program Element: Date of Hearing: <br /> Accounting Use Only: CiAj k Cc.-r <br /> Payment Date Fee Amount Amount Paid heck#fCash Rec'd By <br /> t__ <br /> BAD 48-02-03 0-C_ Admin Hearing Fee PY mt. <br /> 10/4/07 <br />