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05/20/99Stab'‘rnent <br />209 468-3420 <br />MAY 27 «S <br />T ITT! XZ O X O IB <br />ie»i <br />TO : <br />Account #0006490 <br />Facility ID 004048ATTN :ENVIRONMENTAL MGMT <br />RE : <br />PLEASE RETURN a COPY of THIS STATEMENT with YOUR PAYMENT <br />AmountDescriptionDate <br />$350.00 <br />If this INVOICE has been Paid, Please Disregard this Notice <br />this Billing Period:DUETOTAL <br />PHS/EHDPlease make Checks PAYABLE to: <br />Penalties will be added on all Permits <br />at the rate of 1881 of the Base Fee 38 <br />days after the due date. <br />UE-708 <br />RM #3E000T <br />94583-0995 <br />SAh1 JOAQUIN CC )NTY <br />PUBUC H -AI.TH SERVICES <br />ENVIRONMEN AL HEA; I'H DIVISION <br />Service Activity <br />Hrs Employee <br />Report #5255 <br />P rinted: <br />$350.00 <br />06/20/9> <br />05/20/99 <br />Fee <br />[W^Ehil <br />RECEIVER <br />$350. eej <br />A WM A J <br />Invoice # 061744 — Date of Invoice: <br />05/20/99 4630 Public Water System Permit <br />. X..UJ : <br />r <br />UE-708 <br />MILE RD <br />Total for this invoice: <br />Payment DUE DATE <br />SAN OOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVIS^'N <br />504 E WEBER AVENUE - 3RD F OR <br />STOCKTON, CA 95202 <br />Accounting Office: <br />For all SERVICE FEES penalties will <br />be added at the rate of 18$ 60 days <br />past invoice date and each 30 days <br />thereafter. <br />PACIFIC BELL <br />2300 E EIGHT <br />STOCKTON <br />PACIFIC BELL <br />PO BOX 5095, <br />SAN RAMON, CA