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sAN JFEB. 5 2009 2:51 PM GMI 6 46 OFFICE N0. 1611 F. `aa. ' <br /> ENVIRONMENTAL HEALTH VEPARI Illtm t <br /> 600 E MAIN STREET CSP y <br /> STOCKTON, CA 95202 i• <br /> Phone: (209)46&3420 RECEIVED <br /> INVOICE AgogntlD AR0010426 <br /> Walls <br /> FEB — 5 2009 Feclk1l) FA0007168 <br /> SAN JOAQUIN COUNTY DatePrnled 1129/2009 <br /> OFFICE OF EMERGENCY SERVICES <br /> MCDONALDS RE: MCOONALOS <br /> 2250 ROCKEFELLER OR STE 7 1113 W MAIN ST <br /> CERES,CA 95307 RIPON,CA 95366 <br /> OWNER; GRASPOINTNER,DENNIS <br /> Date Health Description Amount <br /> Program <br /> Invoice0 1N01053b2—Date ofktvolce: 112912009 — � — IIptl1111111111IIIlll01116g�ILIIIYIRMIII�III�fl1��IW <br /> 11291 2244 2009 HAzMAT FEE $ <br /> 2009 25s.DD <br /> 11290009 2399 UMFIED PROGRAM FAC STATE SURCHARGE FEE S 24,D) <br /> Told ferlAle lnrofu S 279.00 <br /> Payment Due Date 22612009 <br /> �OTAL DUEthis Billing Period S 279.00 <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 DES I HUMP Fees For all SERVICE FEES <br /> at the Rate of 100%Of the Base Fee Penalties w01 be added at the Rate of 10% P mahlas 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 Invoige Date and each 30 Days therea <br /> 5254.rpt <br />