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ENVIRONMENTAL HEALTH DEPARTM� . Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICEAccount1D AR0021191 <br /> RECEIVE® <br /> Facility ID F FA0012714 <br /> JUL 3 0 2009 <br /> Date Printed 7/28/2009 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERRyyI ES <br /> DAVID CALDER RE : DAVID'S PIZZA IN� <br /> DAVID'S PIZZA INC 900 W BENJAMIN HOLT DR <br /> 1717 PORTOLA AVE STOCKTON, CA 95207 <br /> STOCKTON, CA 95209 <br /> OWNER : CALDER, DAVID <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0169772--Date of Invoice: 5/26/2009 I1111111111111III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII111111IIIII IIII III1 <br /> 5/26/2009 2244 2009 HAZMAT FEE $ 255.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 304.50 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 304.50 <br /> PAST DUE <br /> Delinquent chargee <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 OES I 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 /> S�Sd mt <br />