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A. <br /> jr <br /> SAN JOAQUIN COUNTY ( Page 1 " <br /> ENVJRONMENTAL HEALTH DEPARTi IAT <br /> 600 E MAIN STREET T <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420- <br /> INVOICE <br /> 209)468-3420INVOICE AcaountID AR0017183 <br /> Facility ID FA0010183 <br /> Date Printed 1/31/2011 <br /> EXCEL STORAGE PRODUCTS LP RE : EXCEL STORAGE PRODUCTS LP <br /> 214 S KELLY ST 214 S KELLY ST <br /> LODI,CA 95240-3120 " LODI,CA .95240-3120 <br /> OWNER: EXCEL STORAGE PRODUCTS LP <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0211331 -_Date of Invoice: 1!311201, 1111111111IN II1p111111111111!111111IN <br /> i <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> c, Total for.thta Invoice $ 262.00 <br /> f Payment Due Date 3/212011 <br /> TOTAL DUE this Billing Period $ 262.00 <br /> � t <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 Far 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 /> 5254.rpt <br />