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GJ/1J/LUUJ LL.UV 1 �I <br /> ..RENTAL HEALTH DEPARTMENT Hage 1 <br /> .RAIN STREET <br /> ,jCKTON, CA 95202 <br /> r'hone: (209)468-3420 <br /> AQ, INVOICE AcwunUp ARDB3S036 <br /> Maine <br /> Facwry l0 FA001 667 <br /> Data Printed 7—&9-1200-9 —k <br /> Isionommommunno <br /> DELTA REMOVAL&DEMOLITION RE : DELTA REMOVAL& DEMOLITION <br /> 217 FYFFE AVE STE 154 120 HOOPER ST <br /> STOCKTON, CA 95203 STOCKTON,CA 95203 <br /> OWNER : DELTA REMOVAL R DEMOLITION <br /> Dale Health <br /> Program Desedpticn Amount <br /> Imolce# I1,10169696.—Dateofinwice: 6/262009 111111111101111111 IN mill 11111111111141111111111 IN <br /> 5262009 2244 2009 HAZMAT FEE PLUS 2 YEARS BACK BILLING S 90000 <br /> 5262009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Tot41 for Mh lnvoM f 924.00 <br /> Payreent Due Date 6I2W2009 <br /> TOTAL DUE this Billing Period $ 924.00 <br /> Please make Checks PAYABLE to: 'EHD' - Retum a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For DES I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Bass Fee Penalties wig be added at the Rate of 10% Penaliiea will be added at the Rate of 10% <br /> 30 Dare otter the Due Dave 46 Days after the Invoke Date 60 Days after the Invoice Data and each 30 Days thereafter <br /> 5254 rpt <br />