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OH11 JVM%jul V l Uull 1 r <br />ENVIRONMENTAL HEALTH DEPARTMElb <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />WELSH, RICHARD <br />STOCKTON TRANSPORT REFRIGERATI <br />PO BOX 8896 <br />STOCKTON, CA 95208 <br />Page 1 <br />Account ID <br />AR0006712 <br />Facility ID <br />F FA0005866 <br />Date Printed <br />5/28/2008 <br />RE: STOCKTON TRANSPORT REFRIGERATI <br />4408 S HWY 99 <br />STOCKTON, CA 95215 <br />OWNER: WELSH, RICHARD <br />Date Health <br />Program Description Amount <br />Invoice # IN0170267 --- Date of Invoice : 1/25/2008 <br />1/25/2008 <br />2221 <br />USED OIL ONLY - <5 TONS/YR <br />1/25/2008 <br />2244 <br />2008 HAZMAT FEE <br />1/25/2008 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />3/15/2008 <br />9987 <br />Haz Mat Program Penalty Fee <br />4/15/2008 <br />9994 <br />PERMIT FEE PENALTY <br />I IIIIII I IIIIII III VIII VIII VIII Illli ILII VIII VIII (IIII VIII IIII <br />$ <br />IIIIII VIII I'll IIII <br />54.00 <br />$ <br />270.00 <br />$ <br />24.00 <br />$ <br />27.00 <br />$ <br />54.00 <br />Total for this Invoice $ 429.00 <br />PAST DUE <br />TOTAL DUE this Billing Period $ 429.00 <br />PA 8T SUE <br />Delinquent Charges <br />will be fomarded to <br />.e44_- iP 30 days, <br />Pleasemake Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />Penalties will be added to all Permit Fees For CIES / 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 />