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ENVIRONMENTAL HEALTH rfi1C "" -1 <br /> 09/15/2009 11:04 2094640139 Paget <br /> SAN JOAQUIN COUNT Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccmnfID ARao35036 <br /> Facility 10 FA0019674 <br /> tL I Date Printed 9/1 512 0 0 9 <br /> BRIAN CARPENTER RE : DELTA REMOVALS DEMOLITION <br /> DELTA REMOVAL&DEMOLITION 120 HOOPER ST <br /> 120 HOOPER ST STOCKTON,CA 95203 <br /> STOCKTON,CA 95203 <br /> OWNER: DELTA REMOVAL S DEMOLITION <br /> Date Health Amount <br /> Program Description �I I1I�I gypM ppgqtryq� �Ifqq��I pp98��pY16 ppHH ggI�I <br /> Invoice# IN0169696•-Date of Invoice' 5262009 IN�I161I��1611��111�9�fl�Qll ppllpggpllN 1111116Itlll0116 <br /> 5/262008 2244 2009 HAZMAT FEE PLUS 2 YEARS BACK BILLING S 900.00 <br /> 5/262009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24,00 <br /> (dal(or tole Involve $ 924.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 924.00 <br /> Please make Checks PAYABLE to: 'EMD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permft Feu For DES 1 HMMP Fees For e9 SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penakies 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 Deis and each 30 Days thereafter <br /> 5254 ria <br />