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4VIKIJVmtIVIAL HEALIH DEPARTMENT Nage 1 <br /> 4 E WEBER AVE -3RD FLOOR <br /> -OCKTON, CA 95202 <br /> lone: (209)468-3420 RECEIVEtr <br /> INVOICE i�r 1 i 2006 Account 10 7R0016484 <br /> 5AN JOAUUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> Facility Ib r FA0009484 <br /> �3 Date Printed 4/25/2006 <br /> SUBURBAN PROPANE LP-TRACY 1 L RE : SUBURBAN PROPANE LP-TRACY <br /> <br /> TRACY, CA 95304 <br /> OWNER : SUBURBAN PROPANE LP <br /> Date Health <br /> Program Description Amount <br /> )lee# IN0143662---Date of Invoice: 1127/2006 IIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAVIIIIIIIIIIIIIVIII11111111 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 304.50 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Periodi $ 304.50 <br /> PAS`TP DUE <br /> Delinquent charges <br /> Will be forwarded to <br /> COLLECTIONS <br /> in QQ days. <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> alties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> t 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 /> rot <br />