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S4N JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTNW <br /> 304 E WEBER AVE -3RD FLOOR R EIVED <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 MAR 10 2005 <br /> NTY Account lDAR0026838 <br /> INVOICE SAN <br /> F EMERGENCY SERVICES <br /> Facility ID FA00 555 77 <br /> Date Printed 2/25/2005 <br /> Immoommmmmmmms <br /> BLUE BEACON OF FLAG CITY RE : BLUE BEACON OF FLAG CITY <br /> 15335 N THORNTON RD 15335 N THORNTON RD <br /> LODI, CA 95240 LODI, CA 95242 <br /> OWNER : BLUE BEACON USA LP II <br /> Health Amount <br /> Date Prooram Description <br /> Invoice# IN0130225—Date of invoice: 1/24/2005 IIIIIIIIIIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIIIIIIIIIIIII VIIIIIII IIII <br /> $ 270.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 24.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $ 294.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 294.00 <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 be a I HMMP Fees <br /> For all SERVICE FEES <br /> Penalties will be added at the Rate of 1D <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Das after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5255.rpt <br />