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r:J <br /> SAN JOAQUlN COUNTY Page 1 <br /> rt ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0035056 <br /> Facility ID FA0019694 <br /> Date Printed 3128/2012_1 <br /> ROCKITE CO RE : ROCKITE CO-i <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# IN0226146---Date of Invoice: 1/3012012 Illrffll llllll111lllllllllllllllllllllflll lllll lllllll�ll llllllllllllllllllll IIII�III <br /> ll 1 l 1 I <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 255.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1127/2012 FRSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this invoice $ 329.50 <br /> Payment Due Date 2/29/2012 <br /> TOTAL DUE this Billing Periodl $ 329.50 <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 /> i <br />