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JAN JUAUUIN t;UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM600 E MAIN STET <br /> ENT • <br /> STOCKTON, CA 95202 RECEIVED <br /> Phone: (209) 468-3420 APR 2 0 2009 <br /> INVOICE Account to AR0027632 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICE$y Facility ID FA0015876 <br /> IDate Printed 3/25/2009 <br /> SEI-SLABY ENVIRONM0 TAL INC RE : SEI-SLABY ENVIRONMENTAL INC <br /> PO BOX 903 783 E ROTH RD <br /> BORREGO SPRINGS, CA 92004 FRENCH CAMP, CA 95231 <br /> OWNER : SEI-SLABY ENVIRONMENTAL INC <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0185837—Date of Invoice: 11/29/2009 IIIIIIII IIIIIIIII IIIII IIIII IIIIIIIIIIIIIIIIIIII IIIII IIIII IIIII 11111111111 IN IIII <br /> 1/29/2009 2244 2009 HAZMAT FEE. $ 285.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total for this Invoice $ 337.50 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 337.50 <br /> PAS <br /> Delinquent Charges <br /> will lae forwarded fQ <br /> COLLE -LrIONS <br /> In 30 daYso ., <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 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 />