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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 a�{ <br /> N V�'C E ✓v." l AR0031904 <br /> AccountlD <br /> Facility ID FA0018134 <br /> Date Printed 4/28/2011 <br /> D&M TRUCKING RE : D&M TRUCKING <br /> 3112 WALLACE AVE 1612 ALPINE RD <br /> STOCKTON, CA 95204 STOCKTON, CA 95205 <br /> OWNER : FRED COSTILLA <br /> Date Hth Amount <br /> Peal <br /> rogram Description <br /> Invoice# IN0213459---Date of Invoice: 1/31/2011 IIIIIII IIIIIIIIIIIIIIIIIIII IAIIIII VIIIIIIIIIIIIIIIIIIIIIIII VIII IIII IIII <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 85.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mal Program Penalty Fee $ 8'50 <br /> Total for this Invoice $ 142.50 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 142.50 <br /> T!`! <br /> Delinquent Charges <br /> will he €Orvvalydsd to <br /> in 30 days. <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 /> 5254.rpt <br />