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{ <br /> 'SAA JOAQUIN COUNTY � } <br /> ENVIRONMENTAL HEALTH DEPARTiI�1T .. Page 1 <br /> 600 E MAIN STREET <br /> E STOCKTON, CA 95202 <br /> Phone:. (209)468-3420 <br /> INVOICE Account In `AR0029837 <br /> Facility'ID WF 016955 <br /> DatwPrinted = 1131%207,1_ <br /> SKS ENT RE : SKS ENT <br /> PO BOX 1109 18832 MELLO AVE <br /> RIPON,CA 95366 RIPON,CA 95366 <br /> OWNER. SKS ENT <br /> Date Health <br /> Program Description Amount <br /> Invoice# 1tV0212748--Date of Invoice: 1/31/2011 �III111111111111111l11l111111fIlICIlIIIIIIIIIIIIIIIIIII�IIlllllllllllllllllllllllllll <br /> 1/2612011 2220 SM HW GEN<$TONSNR $ 213.00 <br /> 1/28/2011 2223 AGRICULTURAL HAZ MAT STORAGE FACILITY $ 18.00 <br /> 1/26/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1!2812011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25 00 <br /> Total for this Invoice $ 280.00 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Perioclk $ 28Q.00 <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy <br /> of This STATEMENT with°Your PAYMENT <br /> Penalties will be added to all Penn it Fees For OES 1 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 100/6 <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 /> •r• i <br />