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03711/2011 16:11 2094640138 ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY Pagel <br /> ENVIRONMENTAL HEALTH DEPARTME. <br /> 600E MAIN STREET RECEIVE® <br /> STOCKTON, CA 95202 <br /> Phone: (209{468-3420 <br /> MAR 11 2011 AcwuINVOICE <br /> mlO AR0025645 <br /> SAN JOAQUIN COUNTY FaCAity ID <br /> LMEMOMOMMMA <br /> Dsle Printed <br /> FAC015009 <br /> CE OF EMERGENCY SERVICES <br /> z26rzo11 <br /> PACIFIC COAST MS INDUSTRIES ( \ RE : PACIFIC COAST MS INDUSTRIES <br /> PO BOX 1020 3940 COMMERCIAL ST <br /> LEBANON, KY 40033-5020 TRACY, CA 95376 <br /> OWER: PACIFIC COAST MS INDUSTRIES IN <br /> Date Health <br /> Program Descnpoon Amount <br /> hrvolceN IN0212337—Date of invoice: 1131/2017 IIINIIII�III INIINII�I�NIINI�II�IINIINgllllllll <br /> lr282p11 2220 SM HW GEN<5 TONSfYR S 213.00 <br /> 128/2011 2244 2011 HAZMAT FEE S 285,00 <br /> 112WO 11 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE f 24,00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE S 25.00 <br /> Total for MTs eivoice S 547.00 <br /> Payment Due Date 3212011 <br /> "BEC30NaD) NOTICE <br /> TOTAL DUE this Billing Periodl $ 547.00 <br /> Q <br /> o MAR1 � 1011 <br /> ENYIPONM$ER�CF.SH <br /> pEPM <br /> Var cpO pA^Y IV43 owl bwshCS3 J'inc¢ 1/100 to <br /> Neaj C/eJC ObY Ouao+ r 01 yv.r ✓CxOr4 <br /> P46fe Seen eke kreW )offer f, Ile Beta, �5 <br /> /.°, COO Ie,QjG^ �per��t (#Ojl <br /> pIrrJry; NM1u.,o 17p -E�'2 - ado 9 <br /> Please make Checks PAYABLE to: 'EMU — Return a Copy of This STATEMENT with Your PAYMENT fec 2 3 6 <br /> Penalties will be added to all Permit Fees For DES I HMMP Fees For all SERVICE FEES <br /> at Me Rate of 100%of the Base Fee Penalties will be added at the Rale of 10% Peneihes will be added at the Rale of 10% <br /> 30 Days after the Due Date 46 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254 rpt <br />