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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTONT � � Page 1 <br /> 600 E MAIN STREET ECEIVED <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 FEB t $ 201Z <br /> I N VO R C ESAN JDAOIvV COUNTY Account ID AR0003137 <br /> OFFICE OF EI10Er3GENCYSERVl0E3 <br /> Facility ID r FA0003569 <br /> Date Primed 1}3012012 <br /> ACME TRUCK PARTS & EQUIPMENT I RE : ACME TRUCK PARTS & EQUIP INC <br /> 2546 TURNPIKE RI] 2546 TURNPIKE RD <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : ACME TRUCK PARTS& EQUIP INC <br /> Date Health <br /> Program Descrir!icn Amount <br /> invoice# IN0226372---Date of Invoice: 1/3012012 IIIIIIIIIIIII IIIIIIII VIII VIII IIIIIEIIII VIIIIIIII IIIIIIIIIIIIIIIIIIIIlIII)IIIIIIII <br /> 1/27/2012 2244 2012 HAZMAT FEE I rt I 1 I$ i tl i 270.100 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total forthis invoice $ 319.00 <br /> Payment Due Date 212912012 <br /> TOTAL CUE this Billing Period $ 319.00 <br /> P��.0`" �.i-. T <br /> Y f <br /> FFi_13 `? <br /> SAN JOAOLlio CL3iJi4"ire <br /> ENVIFi0ilt.Et•37AL <br /> NE7ALTI-1 UEItl;1�i i4<J i } <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 OES I HMMP Fees For all SERVICE FEES <br /> at the Rate of 900%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 /> 5354.rpt <br />