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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF* Page 1 <br /> 304 E WEBER AVE -3RD FLOOR l�E�e EL) <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 JUN -2 2006 <br /> INVOICE SAVJUAUUu1000NIY Account 11) AR0016200 <br /> OFFICE OF EMERGENCY SERVICES <br /> Facility ID FA0009200 <br /> Date Pnnted 5/23/2006 <br /> INLAND FLYING SVC RE : INLAND FLYING SVC <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : CHEERS, WALTER T <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143656---Date of Invoice : 112712006 IIIIIIIII IIIIII II I IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIII1111111111111 <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> 4/15/2006 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Involce $ 704.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 704.50 <br /> PAS` " L 4 <br /> Cefinquent „'(lame;es <br /> w0I biJ frai-ppV�v It'I,e <br /> ^.V., <br /> per,fi,.x..• gg ,'I�^ �„,�ii;•- a.:,;:� <br /> P' a tl*aa n <br /> In >J ua'Ys <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 />