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02/26/2004 16:36 4640138 ENVIRONMENTAL HEALTH PAGE 08 <br /> SAN JzOAQUIKCOUNTY <br /> ENVIRONMtNTAL HEALTH DEPARTMEO • Page 1 <br /> 304 E WEBER AVE-3RD FLOORi RECEIVEDSTOCKTON, CA 9502 <br /> Phone: (209)4ss-3420 FEB 27 2004 <br /> INVOICE y,�sua-r e ti ++i1 d7itiiV tp AR0018222 <br /> o�rrs,.�►�'7,^i'L6JEI;"uEN:;Ys� <br /> jjF'C '�V F—V Facmty l0 F FA0009222 mm <br /> ------------ <br /> 2004 Data Pnmed 2/5!2004 <br /> CAMPORA PROPANE � �`a ' 'RE . CAMPORAPROPANE�mc: 5Crj ,( j <br /> 34`L5 ao Ik�w� d � 2525SMARIPOSA RD <br /> STOCKTON,CA STOCKTON, CA 95205-7820 <br /> OWNER TP CAMPORAIRON CAMPORA <br /> Date Health <br /> Program Description Amount <br /> doe 0 INOII6513—Date of Invoice: 2/4/2004 <br /> 2!4!2004 2220 SM HW GEN<5 TONSlYR $ 200,00 <br /> 214J2004 2244 2004 HAZMAT FEE $ 300.00 <br /> 2!4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for tlJe Invoice $ 524.00 <br /> Payment Due Date 3/68004 <br /> TOTAL DUE this Billing Pertod $ 524.00 <br /> ccv-VI <br /> RECEIVE® <br /> 'y�CK Cti `J(� FEB 1 2 2004 <br /> (A� ACCOUNTING <br /> PAYMENT <br /> RECEIVED <br /> / FEB 1 2004. <br /> k <br /> SAN SOnQllln'C^I1tJTY <br /> \�1+` HE,:.CY�^I L:E(',61a mctJT <br /> ♦ol O� <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> leneftles will he added to all Pormit Fees For DES/HMMP Fees For an SERVICE FEES <br /> at the Rete of 100.6 of the Base Fee Penaltlas 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 /> mt <br />