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SAN JCtAQUIN t:UUN FY • Page 1 <br /> EAVIRAMENTAL HEALTH DEPARTM <br /> 600 E MAIN STREET RECEIVED <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 APR 2 0 2009 <br /> Q AcccuntID AR0024332 <br /> IN OICE SAN JOAQUINCOUNTY `y <br /> OFFICE OF EMERGENCY SERVICESt L I O-6 l Facility ID FA0014318 <br /> Date Printed F 3/25/2009 <br /> LMORMUMEMMUMMErMA <br /> INDUSTRIAL MOBILE SERVICES RE : INDUSTRIAL MOBILE SERVICES <br /> 2735 TEEPEE DR#B 2735 TEEPEE DR STE B <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : YATES, JAMES A <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0185578---Date of Invoice: 1/2912009 I/IIIIII IIIIII III VIII IIIII IIIII VIII VIII IIIII IIIII IIIII VIII IIII IIIIII IIIII IIII IIII <br /> 1/29/2009 2244 2009 HAZMAT FEE! $ 255.00 <br /> 1/29/2009 2399 UNIFIED PROGRA FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program P�nalty Fee $ 25.50 <br /> Total for this Invoice $ 304.50 <br /> Payment Due Date 2128/2009 <br /> TOTAL DUE this Billing Period $ 304.50 <br /> WE <br /> DelirI:Nent charges <br /> will 'ne forwarded to <br /> COLLECTIONS <br /> in 30 days, ,.sae <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 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 />