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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEI Page 1 <br /> 304 E WEBER AVE- 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 AW — 20% <br /> INVOICE OFFICE OF EMERGENCYSERMCESAccount ID F AR0016333 <br /> Facility ID FA0009333 <br /> Date Printed 5/23/2006 <br /> C DEJONG TRUCKING INC RE : C DEJONG TRUCKING INC <br /> PO BOX 126 24975 S AUSTIN RD <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : C DEJONG TRUCKING INC <br /> Date Health <br /> Program Description Amount <br /> invoice# IN0142662--Date of Invoice: 1127/2006 I IIIIIII IIIIII III VIII VIII VIII(IIII VIII VIII ILII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> 4/15/2006 9994 PERMIT FEE PENALTY $ 200.00 <br /> 5/8/2006 9999 PAYMENT ($ 200.00) <br /> Total for this Invoice $ 554.00 <br /> PAST DUE <br /> a TOTAL DUE this Billing Period $ 554.00 <br /> P <br /> Delinquent chargeF <br /> will be forwarded to <br /> COLLECTIONS' <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 /> i254.rp1 <br />