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SAN JOAQUIN COUNTY <br /> ,ENVIRONMENTAL HEALTH DEPART . T . Page <br /> 600 E MAIN STREET RECEIVED <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 �(� tag ; Zp01 <br /> INVOICE / J JANJUAUUINUUUNIY <br /> OFFICE OF EMEjj i"X�0VI AR0018817 <br /> Facility ID FA0009817 <br /> Date Printed 5/24/2007 <br /> KAISER PERMANENTE RE : KAISER PERMANENTE <br /> 7373 N WEST LN 1305 TOMMYDON ST <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 <br /> OWNER : KAISER PERMANENTE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0156686—Date of Invoice: 1/25/2007 IIIIIIIIII11I1III VIII VIII VIII1IIu11I111I1III1111I11II111 VIII IIII 1111111 IN 11111111 <br /> 1/25/2007 2221 USED OIL ONLY-<5 TONSNR $ 52.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 85.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 850 <br /> 4/15/2007 9994 PERMIT FEE PENALTY $ 52.00 <br /> Total for this Involve $ 221.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 221.50 <br /> P-Al ®UE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. , „ <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> fen,aftles;will be addedto all Permit Fees For DES/HMMP FeesFor all SERVICE FEES <br /> t 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 />