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-11,4 .—"%Aviv UVUIV 1 1 <br /> ENVIP;)NMENTAL HEALTH DEPARTS"'NT I'ayc t <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE ACCOUnt IDAR0017456 <br /> Facility ID FFA0010456 <br /> Date Printed 6/27/2003 <br /> SIERRA CHEMICAL CO (STKN) RE :SIERRA CHEMICAL CO (STKN) <br /> 1010 INDUSTRIAL DR 1010 INDUSTRIAL DR <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER :STANLEY K KINDER <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0104288---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2214 CaIARP FAC STATE SURCHARGE FEE $ 200.00 <br /> 2/27/2003 2220 SM HW GEN <5 TONS/YR-Operating Permit Fee $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 690.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 69.00 <br /> 5/15/2003 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 1,376.50 <br /> PAST DUE <br /> ST <br /> DUIP <br /> I TOTAL DUE this Billing Period $ 1,376.50 <br /> PA <br /> WE WOULD APP E A�-"OU" <br /> PAYM <br /> RAST DUB' <br /> Delinquent charges <br /> will be torwurded to <br /> COLLECTIONS <br /> in 30 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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />