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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 'f <br /> INVOICE �yD� Account ID AR0000195 <br /> Facility ID FA0000196 <br /> Date Printed 5/27/2009 <br /> lummmmummmanomme <br /> LODI UNIFIED SCHOOL DISTRICT RE : LODI USD-TOKAY HIGH SCHOOL <br /> 1305 E VINE ST 1111 CENTURY BLVD <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LODI UNIFIED SCHOOL DISTRICT <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0184911 —Date of Invoice: 1/29/2009 II'III(IIII III IIIIIIIII VIII VIII IIIIIIII VIII VIII VIII IIII VIII VIII IIII IIII <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 345.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 34.50 <br /> 4/15/2009 9994 PERMIT FEE PENALTY PASS DUE $ 213.00 <br /> Delinquent charges Total for this Invoice $ 829.50 <br /> will be forwarded to PAST DUE <br /> COLLECTIONS <br /> Invoice# IN0187526--Date of Invoice: 2/26/2009 in 30 days. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> Hrs Employee <br /> 1/22/2009 2546 Emergency Response Activity 1.00 NAIDU $ 105.00 <br /> 5/15/2009 9988 SERVICE CHARGE PENALTY $ 10.50 <br /> Total for this Invoice $ 115.50 <br /> Payment Due Date 3/29/2009 <br /> TOTAL DUE this Billing Period $ 945.00 <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 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 />