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PQU�y <br /> SAN JOAQUIN COUNTY PAYMENT <br /> _ ENVIRONMENTAL HEALTH DEPARTIV NT RECEIVED <br /> FEB 2 0 2o08 <br /> Administrative Hearing Fee Payment Information SANJOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> To Be Filled Out By Staff Only HEALTH DEpgRTMENr <br /> Facility ID #: DOG&o sP/R ID#: f G S CV;t) <br /> Account ID#: kRz 0 trlClo`l Invoice#: 1-73905 <br /> Facility Name: Befe e,5 o u d— blkMp <br /> Facility Address: Q vJ i ko ark I L vtd e t'1 <br /> Employee#: 35"3 Service Code: 552 <br /> Program Element: 44 30 Date of Hearing: /G'S <br /> To Be Filled Out By Accounting Only <br /> Payment Date Fee AmountAmount Paid a Gwsh Rec'd B <br /> EHD 48-02-031 Admin Hearing Fee Payt. <br /> 11/13/2002 <br />