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03/15/2011 10:22 2094640138 ENVIRONMENTAL HEALTH rHuc <br /> RECEIVED <br /> SAN JOAQUIN GOUNTY <br /> ENVIRONMENTAL HEALTH Ct�P� <br /> DEPARTMENT MAR 15 2 q 11 <br /> 6D0 E MAIN STRMT <br /> S-rOCKTON. CA 95202 <br /> Phone: (209)468 3 SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERI tD AR00t9Gt2 <br /> INVOICE C1 <br /> 1 ��rD p�Ip FAWi1D12 <br /> DaisP"ftd 1f31/2Ii1t <br /> PACIFIC COAST INDUSTRIA �bR'E: PACIFIC COAST INDWRIES <br /> 4101 HOLLY DRIVE 41 D1 N HOLLY DR <br /> TRACY,CA 95378 TRACY.CA 05476 <br /> OWNER.- PACIFTC COAST INS MOUSTRIES IN <br /> Dote tib Amcutrt <br /> Prmyrwn <br /> Irtvolcall IN0211152—Daft cflrNOMG' 1AZft011 <br /> 1F2! ai t 2220 SM HW GEN-cS TONSIYR $ 213.04 <br /> 11?J (N i 2244 2011 HAZMAT FEE S 3WJ130 <br /> 1 r1 MI 1 2399 UMFm PROGRAM FAC STATE st)Rcrul er FEE $ 24.00 <br /> lrttf201 l ERSC ELECTRONIC REPORTING SURCHARGE S 25.00 <br /> irea>b<ir+rrwelcs <br /> $ 532.00 <br /> PryArrat Gus Ddia 3t�12011 <br /> TOTAL DUE thla Blling Period S 622.00 <br /> �JUS rle dose j 04 j 40, li�k4atc � o,, 134112.1 , <br /> Pkkf✓ rGi%lafi 04Y 09i'?a• Ila AC Tsar ��u✓ il2CDYol <br /> I <br /> �IaIS r1 St Ps On G/v se <br /> Si; <br /> Pkmase make Checks PAYABLE to.- 'EHD' - Rehm a CD"of This STATEMENT vAth Your PAYMENT <br /> Penahlse will be added to aM Pw K Faea for OFS t HMIM>P Fees For eR SERVICE FEES <br /> stow Ret.N I O^of ela BMs Rae W nMMlaa will Be added at Se Rdte Of 10% Per aftim sAll be added at the PAM of 14% <br /> 38 Daya altar the Dae Date ad Gaya sltertha Imrvla Bate 00 Dwim arta►the Inde Dole and each 30 Days Omvmpftw <br /> S254.gn <br />