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02/23/2011 11:13 2094640138 ENVIRONMENTAL 14EALTH PAGE 01/01 <br /> SAN JOCOUNTY �E/1 � PagLi <br /> ENVIRONMENTAL HEALTH DE PAR,O NT COP <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 FEB 2 3 2011 <br /> Phone: (209)468-3420 SANJO <br /> INVOICE FE ERG NV�JN7y A.�ID AR0017329 <br /> Focally ID I FA0010329 <br /> ,Air] Dale Premed F 1/31/2011 <br /> OAKRIDGE WAREHOUSES 1 RE: OAKRIDGE WAREHOUSES <br /> PO BOX 1823 1604 TILLIE LEWIS DR <br /> OAKDALE,CA 95361 STOCKTON,CA 96206 <br /> OWNER: O'DANIEL TRISH <br /> Date Heahh <br /> Program Description I'ry �ylpp10 IIIA I� �I pal Amount <br /> InvoloeR 11,10211818—Dateo(Involes: 1131=11 ullllllllBIXHIII�NN1111NI�11111NII�iVllllm�llll�llllll�l <br /> 1128/2011 2244 2011 HAZMAT FEE S 6500 <br /> 128/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE S 25.00 <br /> Toeal far;W*Mvoke S 134,00 <br /> Payment Due pate 3t2/2011 <br /> TOTAL DUE this Blf PeROtl $ 134.00 <br /> el 47 <br /> n/ <br /> � j61,A- <br /> Please make Checks PAYABLE to: 'EHU — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penaltfes will be added to all Permit Fees For OFS/HMMP Fees For ae 9ERVICE FEES <br /> at the Rate of 100%of the Bass Fee Penalties will be added of the Rate of 10.6 Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date a5 Days atter the Invoice Data 60 Days after the invoke Date and each 30 Days thoroa lar <br /> 5254 rpt <br />