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oPo.4lry <br /> �.• .o� COUNTY OF SAN JOAQUIN <br /> Q' ?a OFFICE OF EMERGENCY SERVICES RONALD I—BALDWIN <br /> a. � <br /> ROOM 610,COURTHOUSE Director of <br /> 222 EAST WEBER AVENUE Emergency Operations <br /> C4CIFOpNP STOCKTON, CALIFORNIA 95202 <br /> TELEPHONE(209)468-3962 <br /> HAZARDOUS MATERIALS DIVISION(209)468-3969 <br /> October 3,2001 <br /> ATTN SHEILA ADAMS Invoice No.: 1443 <br /> WEST VALLEY MALL Account No.: 9595 <br /> 3200 N NAGLEE RD <br /> TRACY CA 95304 <br /> SUBJECT: INVOICE FOR FACILITY AT 3200 N NAGLEE RD TRACY <br /> The following itemized charges and fees have been assessed as part of participation in the hazardous <br /> materials programs mandated by Chapter 6.95 of the Health and Safety Code or for services <br /> rendered by our office. <br /> Please remit your payment to the Office of Emergency Services. A 10% late fee will be <br /> assessed if your payment is not postmarked by the payment due date. Should you have any <br /> questions, please call (209) 468-3969. <br /> ITEMIZED CHARGES <br /> 10/3/2001 2001 HMMP Annual Fee $85.00 <br /> 10/3/2001 Backbill-HMMP Fee for 2000 $85.00 <br /> 10/3/2001 Backbill-HMMP Fee for 1999 $85.00 <br /> Please pay this amount: $255.00 <br /> Payment Due Date: 11/19/2001 <br /> If a business is unable to pay the fee in one payment, they can be given the opportunity to make <br /> payments according to a set payment schedule. Please contact our office at 468-3969 to make arrangements. <br /> SAN JOAQUIN COUNTY OFFICE OF EMERGENCY SERVICES <br /> DETACH AND REMIT WITH PAYMENT <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> OFFICE OF EMERGENCY SERVICES <br /> ROOM 610, COURTHOUSE <br /> 222 E. WEBER AVENUE <br /> STOCKTON, CA 95202 <br /> Payment Due Date: November 19, 2001 Total Amount Due: $255.00 Invoice No.: 1443 <br /> Account No.: 9595 <br /> Site Address: WEST VALLEY MALL <br /> 3200 N NAGLEE RD <br /> TRACY,CA 95304 <br /> BRF-06 Revision 7/96 <br />