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0AI%JVI- WlJIN k UUIVi T <br /> ENVIRONMENTAL HEALTH DEPARTMF`11T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE , ; ` � Account ID ARo035056 <br /> Facility ID FA0019694 <br /> Date Printed 1 4/2812011 <br /> ROCKITE CO RE : ROCKITE CO <br /> 1550 SHAW RD#D 1550 SHAW RD#D <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : NEIL DAVIS <br /> Date Health <br /> Program Description Amount <br /> Invoice 9 IN0213740---Date of invoice : 9/31/2011 I II11111I11111111111111111111111IIII 1IIIIIIIIII1II1111I11III111111111111111IN1111 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 255.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAG STATE SURCHARGE FEE $ 24.00 <br /> 112812011 FRSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 312012011 9987 Haz Mat Program Penally Fee $ 25.50 <br /> Total for this Invoicel $ 329.50' <br /> Payment Due Date 312/2011 <br /> TOTAL DUE this Billing Period $ 329.50 <br /> -Alai-de.d to <br /> l <br /> 30 day <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 I 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 he added at the Rate of 10% <br /> 30 flays 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 />