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VI'11V JV/YbrV IIV VVVIV I 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> €00 E MAIN STREET . <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 COPY <br /> INVOICE a � S Account ID AR000slas <br /> Facility ID FF—A0 0011-3 4 <br /> Date Printed 3/31/2010 <br /> TURKMANY, GEORGE RE : TWO RIVERS RV PARK <br /> TWO RIVERS RV PARK 31021 S TWO RIVERS RD <br /> PO BOX 1424 MANTECA, CA 95337-9468 <br /> MANTECA, CA 95336 <br /> OWNER : TURKMANY, GEORGE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0199407---Date of Invoice: 2/2/2010 IIIIIIIIIIII VIIIVIIIVIIIIIIIIIIVIIIVIIIVIIIVIIIIIIIIIIII VIII IIII IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 255.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice -j-329'50 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this BillingPeriod $ 329.50 <br /> ®elinquer53 Charges <br /> will be forwarded to <br /> or �0 days. <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 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 /> i254.rpt <br />