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SAN'JOAQUIN COUNTY . Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET �P_ <br /> - <br /> 5 T OCIGTON, CA 95202 LF <br /> Account to AR0028339 <br /> Facility ID FA0016216 <br /> Date Printed 4/30/2012 <br /> PREMIER INDUSTRIAL FINISHING RE : PREMIER INDUSTRIAL FINISHING <br /> <br /> LATHROP, CA 95330 <br /> OWNER : AURELIOFERNANDEZ <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0224924---Date of Invoice: 1/3 012 01 2 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIII VIIIIIIIIIII IIIIIIIIIIIIIII IN IN <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 285.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 112712012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total for this Invoice $ 362.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 362.50 <br /> PAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> ," in 30 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 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 />