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SAN JOAQUIN COUNTY Page I <br /> ENVIRONMENTAL HEALTH DEPARTF IT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 L L\ <br /> INVOICE Account ID AR0035535 <br /> Facility ID FA00 99956 <br /> Date Printed 3/31/2010 <br /> SILVESTRES CONST MECH CO RE : SILVESTRES CONST MECH CO <br /> PO BOX 2507 6030 E KETTLEMAN LN <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : SILVESTRE HERNANDEZ <br /> Date Health <br /> Program Description Amount <br /> Invoice If IN0200939—Date of Invoice: 2/2/2010 illlll IIII III Ilil VIII VIII VIII(IIII VIII VIII IMI VIII IIII III VIII I'll IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 360.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 36.00 <br /> Total for[his Invoice $ 445.00 <br /> Payment Due Date 31412010 <br /> TOTAL DUE this Billing Period $ 445.00 <br /> [)elinquent charges <br /> CEG-TIa� <br /> ir 7)0 devq. <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> [Peenalti�will be added to all Permit Fees For OES I 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 /> S?54 mr <br />