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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTIli T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE �Q`d Account ID AR0020291 <br /> RECEIVED Facility ID FA0012434 <br /> APR 2 3 2008 Date Printed 3i26i2008 <br /> JAIV JUAUUIN I;UUN I V Noma <br /> OFFICE OF EMER(SENCY SERVICES <br /> SPRAY-ON BEDLINERS OF STOCKTON RE : SPRAY ON BEDLINERS OF STOCKTON <br /> <br /> STOCKTON, CA 95210 <br /> OWNER : CLIFTON, MARY <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0171741 —Date of Invoice : 1/2512008 IIIIIII 111111 III VIII VIII IIIIIIII VIII VIII VIII III�III IIII III I�I IIIIIIII <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 270.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for[his Invoice $ 321.00 <br /> Payment Due Date 2127/2008 <br /> TOTAL DUE this Billing Period $ 321.00 <br /> a `Y DUE <br /> delinquent charges <br /> ,,mll to forwarded to <br /> days. <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> talteswill be added to all Permit Fees For DES/HMMP Fees Forall SERVICE FEES <br /> the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate off0 <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 /> 254 rpt <br />