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ENVIRONMENTAL HEALTH DEPARTMENT Page t <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 � / <br /> INVOICE �dMO V ED Account ID AR0004604 <br /> SEP 2 8 2004 FacilityID F FA0002409 <br /> $Al1a 4.1 . ,ivuUHlY <br /> �EOrE?Z . EMYSERVICE Date Printed F 9/24/2004 <br /> RE : SAFEWAY FUEL CENTER <br /> <br /> STOCKTON, CA 95207 <br /> OWNER : SAFEWAY INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0122082—Date of Invoice: 6/2412004 11111111 HIT III IIIII IIIII IIIII 1111111111111111111111111111[111111p111111 IN <br /> 6/24/2004 2244 2004 HAZMAT FEE $ 100.00 <br /> 8/15/2004 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 9/8/2004 9999 PAYMENT ($ 100.00) <br /> Total for this Invoice $ 10.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period L-10-00 <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!HMMP Fees For all SERVICE FEES <br /> at the Rate of 1100%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 /> 5255 rpt <br />