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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARThW <br /> '600 E MAIN STREET <br /> STOCKTON, CA 95202 rj ®�� <br /> Phone: (209)468-3420 <br /> N V O C E - Account ID AR0035059 <br /> � ` LMNUUMMMMENWA <br /> Facility ID FA0019697 <br /> Date Printed 4/28/2011 <br /> mss*= <br /> MID-CAL CONSTRUCTION INC RE : MID CAL CONSTRUCTION INC <br /> 2716 E MINER AVE#S 2716 E MINER AVE#S <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : MID CAL CONSTRUCTION INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0213743---Date of Invoice: 113112011 IIIIIIII IIIIVIIIVIIVIIIVIIIVIIIVIIIVIIIVIIVIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 285.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total for this Invoice $ 362.50 <br /> Payment Due Date 3/212011 <br /> TOTAL DUE this Billing Period $ 362.50 <br /> -OAST OUE <br /> Delinquent charcdeo <br /> Will be forwarded to <br /> in 30 darts, <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 />