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SAN JOACKUIN COUNTY • • Page 1 <br /> EN`VIF UNMEINTAL HEALTH DEPARTMENT <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> INVOICE Amount ID AR0018051 <br /> LMOMMUMMMMMM <br /> Facility ID FA0011051 <br /> Date Printed 1/30/2014 <br /> BRETT NEW RE : AMG RESOURCES PACIFIC CORP <br /> AMG RESOURCES PACIFIC CORP 16332 S MCKINLEY AVE <br /> <br /> <br /> OWNER : AMG RESOURCES PACIFIC CORP <br /> I"'I`I�m Amount <br /> Date <br /> PrograDescription <br /> Invoice# IN0248628--Date of Invoice: 1/30/2014 IIIIIIIIIVIVIIVIIIVIIIIIIIVIIIIIIIIIIIIIIIV IIII IIII <br /> 1/30/2014 1921 - HMBP-Regular-Primary Location $ 315.00 <br /> 1/30/2014 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice 1 $ 404.00 <br /> Payment Due Date 31112014 <br /> TOTAL DUE this Billing Period :$ 1:4D 404.00 <br /> RF�F EMr <br /> �Ee 1 V&D <br /> 1 ?014 <br /> 1 f� 068",A'cou <br /> f9(1}r pR�'4" <br /> fVr <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 HMBP 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 /> 52i4rpt <br />