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SAN JOAQUIN COUNTY <br /> ENVIR=ONMENTAL HEALTH DEPAr2TPOT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 RECEIVED <br /> Phone: (209) 468-3420 <br /> INVOICE SEP 14 2005 Amount ID ARoo2aasa <br /> tiAN JUAWIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES FA0016407 <br /> Facility ID <br /> Date Printed F 8/26/2005 <br /> IMEMMMMMMENES <br /> BEKINS MOVING & STORAGE AGENTS RE : BEKINS MOVING & STORAGE AGENTS <br /> PO BOX 334 607 N WILSHIRE AVE B <br /> STOCKTON, CA 95201 STOCKTON, CA 95203 <br /> OWNER : BEKINS MOVING & STORAGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0136787—Date of Invoice: 8126/2005 I IIIIIII IIIIII III VIII(IIII VIII VIII VIII(IIII(IIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 8/26/2005 2244 2005 HAZMAT FEE PLUS 4 YEARS BACK BILLING $ 500.00 <br /> Total for this Involve $ 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/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.rp[ <br />