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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF-'T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 �� <br /> Phone: (209)468-3420 <br /> i% I;�Z <br /> Account INVOICE FF6 p -- AR0004471 <br /> i <br /> 6y 6 14� n, <br /> Facility ID FA0002722 <br /> Date Printed 1/30/2006 <br /> ATTN: CAEV BOX 17 RE : CALIFORNIA NATIONAL GUARD -OMS#24 <br /> CALIFORNIA NATIONAL GUARD - OMS#24 8020 S AIRPORT WAY <br /> PO BOX 269101 STOCKTON, CA 95206 <br /> SACRAMENTO, CA 95826-9101 <br /> OWNER : CALIFORNIA ARMY NATIONAL GUARD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142473--Date of Invoice: 1/27/2006 IIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIII <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 375.00 <br /> 1/27/2006 2247 RCRA GEN 5Q5 TONS $ 1,566.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for thisInvoice $ 1,967.00 <br /> Payment Due Date 3/112006 <br /> TOTAL DUE this Billing Period $�' 1,967.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 .0 20UIj <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> BY <br /> ArE L 2 <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 /> 5254.rpt <br />