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SAN JUAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMV • <br /> •600 E MAIN STREET <br /> STOCKTON, CA 95202 1 5 3 COPY <br /> Phone: (209) 468-3420 <br /> Account ID AR0035504 <br /> INVOICE <br /> Facility ID F FA0019925 <br /> Date Printed 3/31/2010 <br /> DERALD TORREY RE : DERALD TORREY <br /> 135 PALM AVE 1020 E PARK ST <br /> RIPON, CA 95366 STOCKTON, CA 95205 <br /> OWNER : DERALD TORREY <br /> Dale Health Amount <br /> Program Description <br /> Invoice# IN0200914—Date of Invoice: 21212010 IIIIIIII IIIIIIII VIII VIIIVIII VIII VIII VIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII <br /> $ 285.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 24.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 28.50 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee <br /> Total for this Invoice $ 362.50 <br /> Payment Due Date 314/2010 <br /> TOTAL DUE this Billing Period $ 362.50 <br /> .- <br /> I <br /> Delinquent charges <br /> will be t®mfarded trr <br /> in 3Q daVs, <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will of added to all Permit Fees For be a/HMMed at Fees Penalties will be added at the Rate of 10% <br /> at the Rate of after <br /> %of the Date Fee Penalties will of added n the Rate of 10% 60 Das after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date 46 Days atter the Invoice Date Y <br /> 5254.rpt <br />