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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART JT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARoo1894s <br /> Facility ID F FA0009948 <br /> Date Pnnted F 1/24/2005 <br /> JOHN ROSSI HAY CO RE : JOHN ROSSI HAY CO <br /> PO BOX 332 511 N AIRPORT WAY <br /> MANTECA, CA 95336 MANTECA, CA 95336 <br /> OWNER : JOHN ROSSI <br /> Date Health <br /> Program Description — _ Amount <br /> Invoice. IN0128160—Date of Invoice: 1/24/2005 111111111 IR 111111111111111111111111111111 IN 1111111111111111111 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 285.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> Total for this Invoice f�5'/2005 9.00Payment Due DateTOTAL DUE this Billing Period $ <br /> MEMO <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 5 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> 5'_55.rpt <br />