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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEyAPTN T 4WECEIVED Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 ] 4 2005 <br /> Phone: (209)468-3420 YYY <br /> r NJ UpUUIN COUNTY <br /> l -0F EMERGENCY SERVICES <br /> INVOICE pl <br /> /�"V Account ID FAR0028868 <br /> Facility to FA0016407 <br /> I Date Printed F 8/26/2005 <br /> I� <br /> BEKINS MOVING &STORAGE AGENTS ^ RE Q--BEKINS MO�`V1�N ''& STORAGE AGENTS <br /> PO BOX 334 / / / ' 607 N WILSHIRE AVE B <br /> STOCKTON, CA 95201 < �OCKTON,CA 95203 <br /> OWNER : BEKINS MOVING & STORAGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0136787---Date of Invoice: 8/26/2005 <br /> IIIII IIII IN <br /> 8/26/2005 2244 2005 HAZMAT FEE PLUS 4 YEARS BACK BILLIj+IG $ 500.00 <br /> 1\ J Total for this Invoice $ 500.00 <br /> -- -- Payment Due Date 9/25/2005 <br /> TOTAL DUE this Billing Period $ 500.00 <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 /> 5255.rpt <br />