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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTI IT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE JAN 2 B 2005 <br /> +,� Account ID AR0009076 <br /> B3 e <br /> Facility ID FA0006696 <br /> Date Pnnted1/24/2005 <br /> CALIF NATL GUARD/COMBINED SUPPLY RE : CALIF NATL GUARD/COMBINED SUPPLY <br /> 9800 GOETHE RD 8020 S AIRPORT WAY <br /> SACRAMENTO, CA 95826-9101 STOCKTON, CA 95206 <br /> OWNER : CALIFORNIA ARMY NATIONAL GUARD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128075—Date of Invoice: 1124/2005 III I III I III II I VI I VII VII VIII III VIII VII V I VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 420.00 <br /> 1/24/2005 2247 RCRA GEN 5<25 TONS $ 1,568.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 2,012.00 <br /> Payment Due Date 2/2312005 <br /> TOTAL DUE this Billing Period $ 2,012.00 <br /> tv <br /> N <br /> i <br /> tit <br /> = O <br /> PAYMENT <br /> RECEIVED <br /> FEB 9 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 rpt <br />