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ENVIRONMENTAL HEALTH DEPARTMENT �y <br /> 600 E MAIN STREET <br /> PSTOCKTON, CA 95202 1 <br /> Phone: (209) 468-3420 <br /> INVOICE � � �I „ Account ID AR0032059 <br /> (j! <br /> Faatity ID FA0018219 <br /> Date Printed 5/27/2009 <br /> WINN, D H RE" D H WINN TRUCKING INC <br /> D H WINN TRUCKING INC 12505 E BRANDT RD <br /> PO BOX 400 LOCKEFORD, CA 95237 <br /> LOCKEFORD, CA. 95237 <br /> 'OWNER : WINN, D H-, <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0186976--Date of Invoice: 112912009 I IIIIIII IIIIII III ILII!IIIA VIII VIII VIII VIII VIII lull VIII!III IIIIII VIII 111111[! <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 F <br /> 1/29/2009 2244 2009 HAZMAT FEE : $ 330.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee . $ . 33.00 <br /> 4/15/2009, 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 813.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 813.00 <br /> - T DUE <br /> Definciul:rt charges <br /> 'will be 6or!jardad t® <br /> � L - ' <br /> in 30 Oaysa <br /> 4 <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 /> 5254.rpt <br /> i <br />