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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICEo Ac,countlD AR0017156 <br /> ` Facility ID F FA0010156 <br /> Date Printed 5/27/2009 <br /> MOKELUMNE RIVER HATCHERY RE : MOKELUMNE RIVER HATCHERY <br /> PO BOX 158 25800 N MCINTIRE RD <br /> CLEMENTS, CA 95227 CLEMENTS, CA 95227 <br /> OWNER : EAST BAY MUD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 94332--Date of Invoice : 1/29/2009 11111111111111111111 IN IN <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 330.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 33.00 <br /> 4/15/2009 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 813.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 813.00 <br /> ` s <br /> 10 <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 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 />