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CI`1 V IRV r�OI GIS�ML ncnu n v�r.+.�..^��•• • <br /> 600 E MAIN STREET • <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE 1�f Account ID AR0035504 <br /> IFacility ID FA0019925 <br /> Date Printed 11/30/2009 <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 /> Health Amount <br /> Dale program Description flfl nn ryry pp <br /> Invoice# IN0193923—Date of invoice: 912412009 IIIIIIII�IIIIIIII�IIII�� IIIIII��III�II�II111111 IIIA IN 1111 <br /> 9/2412009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 570.00$ 57.00 <br /> 11/15/2009 9987 Haz Mat Program Penalty Fee <br /> Total for thi--l-WIC61 $ 627.00 <br /> Payment Due Date 10/24/2009 <br /> TOTAL DUE this Billing Period $ 627.00 <br /> PAST UUE <br /> Delinquent charges <br /> will be forwarded to <br /> COL LECT9®ll1S <br /> flr 3.0 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 />