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ENVJRONMENTAL HEALTH DEPARTM --IT Page 1 <br /> 600 E MAIN STREET �./ <br /> STOCKTON, CA 95202ECEIVEp <br /> Phone: (209)468-3420 <br /> INVOICE MAY 26 2011 Amount ID _AR 0001101 <br /> OITICEOFEA#ERG66ySER Facility ID FA0001103 <br /> MGENCVSERVICESLEMEMENWOOMMEMEM <br /> Date Printed 4/28/2011 <br /> BLINN, DENNIS RE : ELKHORN COUNTRY CLUB <br /> ELKHORN COUNTRY CLUB 1050 ELKHORN DR <br /> 1050 ELKHORN DR STOCKTON, CA 95209 <br /> STOCKTON, CA 95209 <br /> OWNER : CAPLIN-MCGIFF ENTERPRISE INC <br /> Date Health <br /> Program Description Amount <br /> Invoice IND211569—Date of Invoice: 1131/2011 �111111111111111111111 HE 111111111111111111111111111111111111111111111111111111111 <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 315.00 <br /> 1/26/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total forthis Invoice $ 821.50 <br /> Payment Due Date 3/2/2011 <br /> PASTST IDU1112".n TOTAL DUE this Billing Period $ 821.50 <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> MAY 192011 <br /> ENVIRONMENT HEALTH <br /> MYOUR HEALTTAI-1`FEJIi PERMIT/SERVICES <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNT11 <br /> PAST DUE AMOUNTS <br /> naF PAID IN FULL <br /> We closed our business February 2 , 2011 and will be completing <br /> the Hazardous Waste clearance by the end of this month . Garrett Backus <br /> has been informed of this . Nancy Caplin , Pres . 5/ 18/ 11 <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will he 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 /> 5254 ml <br />