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SANJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 RECEV <br /> Phone: (209)468-3420 C 1�/ 4, <br /> MSIR � u ,z0ag <br /> INVOICE Account ID AR0030965 <br /> 0IFI0E pF EMEA&fNCY SENA <br /> j <br /> Facility ID FA0017745 <br /> Date Printed ! 2128/2008 <br /> <br /> <br /> LATHROP, CA 95330 <br /> OWNER : JAMES E TREVETHAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0173048---Date of Invoice: 1/2512008 ILII+IIIIIIIII�II�PI�II�IIIIIIIJI�II�IIIII+1lldill�llllIIIIIllll�lllfrlllillllPlflll <br /> 1/25/2008 2244 2008 HAZMAT FEE !II I l !it 11! 1 h1I11 I II 11 III$285.00 <br /> 28S00 <br /> 1125/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $24.00 <br /> Total for this Invoice $309,04 <br /> Payment Due Date 212712008 <br /> TOTAL DUE this Billing Period $ 309.00 <br /> NOTE: <br /> Please find enclosed a copy of the form submitted to Office of Emergency Services by the new <br /> owner Cesar Alvarez showing ownership change as of February of 2008. Therefore, the above charges <br /> are due and payable and will penalize 3115108. <br /> If you have any further questions, please contact Michelle at the i ce of Em rgemy Services at <br /> (209) 468-3962. <br /> E IEWFIED <br /> MAR D 2008 <br /> ENVIRONMENT HEALTH <br /> PERMIT/SERVICES <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added toall Permit Fees For OES 1 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 /> 4 rpt <br />