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bAN JVHI.t DIN t.VV1V I 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 �" V <br /> Phone: (209) 468-3420 <br /> REED <br /> INVOICE CH'v <br /> Account iD AR0029711 <br /> .9• Y 2 v <br /> ti AN JGAGUIN COUNTY <br /> Facility ID I FA0016829 <br /> OFFICE OF EMERGENCY SERVICES <br /> Date Printed F 4/25/2006 <br /> FIVE STAR EXPEDITERS INC 1` V RE : FIVE STAR EXPEDITERS INC <br /> PO BOX 30158 1617 E MAIN ST <br /> STOCKTON, CA 95213 STOCKTON, CA 95205 <br /> OWNER : ARCHIE R MENO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144928--Date of Invoice : 1/27/2006 IIIIIIIIIIII <br /> 1/27/2006 2244 2006 HAZMAT FEE PLUS 3 YEARS BACK BILLING $ 1,500.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 150.00 <br /> Total for this Invoice $ 1,674.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 1,674.00 <br /> PAST 41,.1 <br /> Delinquent chara,�c <br /> will be forwarded �.' <br /> COLLE 4� <br /> r 3,' <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/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 />