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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> INVOICE '/1# \ Account ID AR0035514 " <br /> \ Facility ID FA0019935 t <br /> Date Printed 4/30/2012 <br /> GREEN HORIZON RE : GREEN HORIZON <br /> 611 GILMORE AVE STE B 611 GILMORE AVE STE B <br /> STOCKTON, CA 95203-4910 STOCKTON, CA 95203-4910 <br /> OWNER : GREEN HORIZON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0226231---Dateof Invoice: 1/30/2012 IIIII'1IIIIII <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 270.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/2 712 01 2 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for this Invoice $ 346.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 346.00 <br /> PAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COL LECTIC)INS <br /> In �o days. <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 1 HMMP Fees For at]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 />