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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF T RECEIVED Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 APR 2 0 2009 <br /> Phone: (209)468-3420 <br /> SAN JOAQUIN COUNTY <br /> INVOICE OFFICE OF EMERGENCY SERVICES Account ID AR0034317 <br /> Lummommmmmmummi <br /> Facility ID FA0019303 <br /> LONOMEMMMMMMMA <br /> Date Printed 3/25/2009 <br /> ROOF RANGERS RE : ROOF RANGERS <br /> PO BOX 5114 129 HOOPER DR <br /> GALT, CA 95632 STOCKTON, CA 95203 <br /> OWNER : PATRICK W MAPLE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0187177--Date of Invoice: 1/29/2009 I1111111111111III IIIIIIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIII IIIIII1111111111111 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 285.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ -24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total for this Invoicel $ 337.50 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 337.50 <br /> PASI <br /> , <br /> Delinquent Charges <br /> will be forwarded to <br /> COLLECTIONS <br /> ir? 33 days. <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties 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 Date and each 30 Days thereafter <br /> 5254.rpt <br />