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_.... _—..__... ---... . Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME - <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE � p� Account ID AR0017453 <br /> RECEIV —�FacilityID FA0010453 <br /> JUL 3 O 2009DatePrinted F 7/28/2009 <br /> LUMMEEMMMMMENS <br /> t[�SEEAN JOAQUIN COUNTY <br /> CROSSROADS AUTOMOTIVE RE : OCEEFFRpW 1�!§C,AIWII96WTIVE <br /> <br /> STOCKTON, CA 95202 <br /> OWNER : BERKEBILE BRENT/FRISB, SHAYLA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0189716---Date of Invoice: 5/26/2009 I II I II I II VII VII I IIVI IIII I I VI IIIIIIVII IIII III VI IIII II <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 230.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 23.00 <br /> Total for this Invoice $ 277.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 277.00 <br /> DUE <br /> Delinquent Charges <br /> will be forwarded to <br /> irr 30 days. <br /> Please make Checks PAYABLE to: 'END' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES/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 />