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03/04/2011 16:10 2094640138 ENVIRONMENTAL HEALTH PAGE 01/01 <br /> SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600E MAIN STREET RECEIVED STOCKTON, CA 95202 C C V G <br /> Phone: (209)468-3420 <br /> INVOICE MAR —4 201? Amount ID AR0016845 <br /> ' \1 Now <br /> SAN JOAQUIN COUNTY FaaftyID FA0009845 <br /> c S 7 I;�(F EMERGENCY SERVICE6 <br /> Data Pnnled 228/2011 <br /> DELTA SIGNS ��Q a RE : DELTA SIGNS <br /> 1834 W EUCLID AVE 2100 SANGUINETTI LN <br /> STOCKTON,CA 95204-2911 STOCKTON,CA 95205 <br /> OWNER: HOFFMAN,CURT <br /> Health Amount <br /> Date Program Description <br /> Invoice 0 IN0210932--Date of Invoice: 113112011 I�IN�BI�NAIINII INN �IIII�NI�IaR�INil�lllll <br /> 11282011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> S 285.00 <br /> 112612011 2244 2011 HAZMAT FEE <br /> 11282011 2390 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 200 <br /> 1/282011 FRSC ELECTRONIC REPORTING SURCHARGE b 255..00 <br /> TWller this Invoice $ 547.00 <br /> Payment Due Data 317!2011 <br /> TOTAL DUE this Billing Periodl S 547-00 <br /> WON <br /> MAR - 4 2011 <br /> ENp£RMIYEW TM <br /> Is RV�ES <br /> Please make Checks PAYABLE to: THU — Return a Copy of This STATEMENT with Yot1r PAYMENT <br /> Penalties will b�added Pemlil Fees For OFS I HMMP Fees For all SERVICE FEES <br /> at the Rate oBase Fee Penalties,will be added at the Rate of 10% Panalties will be added at the Rate of 1030 Days Dam 45 Days after the Invoice Date W Days after the Invoice Date and each 30 Days tMrea%er <br /> 5254 rpt <br />