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rENVIR <br /> AQUIN COUNTY Page 1 <br /> NMENTAL HEALTH DEPART T MZ <br /> AIN STREET <br /> TON, CA 95202(209) 468-3420 AUG -52011 <br /> AR0017329 <br /> CouID <br /> INVOICE oMcEaF MEORN 01V 3F tyIDME <br /> FA0010329 <br /> Date Printed 6/27/2011 <br /> OAKRIDGE WAREHOUSES RE : OAKRIDGE WAREHOUSES <br /> PO BOX 1823 1604 TILLIE LEWIS DR <br /> OAKDALE, CA 95361 STOCKTON, CA 95206 <br /> OWNER : O'DANIEL,TRISH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0211816---Date of invoice: 113112011 IIIIIIIIIIIIIIIIIIIIIIIIIAIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 85.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mal Program Penalty Fee $ 8.50 <br /> Total for this Invoice $ 142.50 <br /> PAST DUE <br /> TOTAL DUE this "Bi"lli�g Period $ 142.50 <br /> pAST IDUE0 <br /> D o 0 <br /> VVE WOULD APF RECIATE YOUR /1n <br /> PAYMENT TODAY! <br /> CAS <br /> QI ( <br /> � ) � NVIOONMENT HEA1-TH <br /> I" � ,(� E pEflMITISEH�ICES <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 />