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09/15/2009 11:04 2094640139 ENVIRUNMLN A+ "Mr n - <br /> - , ,M..... ...._... . <br /> ENVIRROONMENTAL HEALTH DEPARTMENT Page t <br /> OAJ$IAAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)"113420 <br /> INVOICE ArmmD ARoo3so36 <br /> Faddy K) F FA0019674 <br /> Dale PdMed 611612009 <br /> DELTA REMOVAL&DEMOLITION RE : DELTA REMOVAL& DEMOLITION <br /> PMB219 120 HOOPER ST <br /> 4011 E MORADA LN STE 140 STOCKTON,CA 95203 <br /> STOCKTON,CA 95212-1630 <br /> OWNER: DELTA REMOVAL&DEMOLITION <br /> Date Hsakh Amount <br /> program Description <br /> Invoice 9 IND189996—Date of Invoice: 612612009 1111111111108111MMEMIIIIIIII1111UIC N <br /> 5126/2009 2744 2009 HAZMAT FEE PLUS 2 YEARS BACK BILLING S 9W'00 <br /> 5126R009 2599 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 74.00 <br /> TeW brmle 1,14WCe S 92400 <br /> payment Due Date 612512009 <br /> TOTAL DUE this Dining Period S 924.00 <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties wall be added to all Permit Fees For OF$I HMMP Fees For all SERVICE FEES <br /> at the Rats of 100%of the Same Fee Penalties will be added at the Rete of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 46 Days after the Invoice Date 00 Do"after the Invoice Dale end each 30 Days thereafter <br />