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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTNTTNT 1..00 Page 1 <br /> 600E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> INVOICE / � AccountlD AR0016977 <br /> Facility ID FA0009977 <br /> Date Printed 4/30/2012 <br /> <br /> <br /> MANTECA, CA 95337 <br /> OWNER : MANTECA, CITY OF <br /> Date Health <br /> Program Descnption Amount <br /> Invoice# IN0224203---Date ofInvoice: 1/30/2012 1111111IIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIII111111IIIIIINIIII <br /> 1/27/2012 2244 2012 HAZMAT FEE - $ 315.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> Total fora Invoice $ 395.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 395.50 <br /> PAST DUE <br /> Delinquent Charges <br /> will be forwarded to <br /> in 30 days. . <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 OES/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 />