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SAN JOAQUIN COUNTY <br /> -ENV'IRON'MENTAL HEALTH DEPARTME_ Page 1 <br /> 304EV11EBERAVE -3RD FLOOR ]RECEIVED ---- <br /> STOCKTON, CA 95202 ��� $ 2004 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountID ARO023212 <br /> LUENEMEMOMMMI <br /> FacilitylD FA0013802 <br /> XDate Printed 4/26/2004 <br /> CEN-CAL SERVICES INC RE : CEN-CAL SERVICES INC <br /> 1169S MAIN ST PMB #278 5 E ALMONDWOOD DR <br /> MANTECA, CA 95337 /MANTECA, CA 95337 <br /> O%VNER : JOHN CAMBRA <br /> Date Health <br /> Program Description / Amount <br /> Invoice# IN0116388--Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 315.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STAT ERVICE 'E $ 24.00 <br /> 3/21/2004 Haz Mat Program Penalty Fee {`.'� $ 31.50 <br /> /1 200 9994 PERMIT FEE PENALTY 33 $ 200.00 <br /> Total for this Invoice $ 770.50 <br /> Payment Due Date 3//f2004—'\ <br /> I <br /> TOTAL DUE this Billing Period 770.50 <br /> ST ! <br /> IV WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! PAYMENT <br /> RECEIVED <br /> APR 3 0 2004 <br /> 611ENTL SAN JOAQUIN COUNTY <br /> YOUR HEALTH ?CRMIT FOR ENVIRONMENTAL <br /> HFIR DEPARTMENT <br /> THE CURRENT YEAR <br /> ENS I " ` VAI L NOT BE 1-'-'SUED UNTIL. <br /> ( ( PAST DUE t1P I JUNTS <br /> GL 4r _! ARE PAIL IN FULL <br /> CHECK :N--_ <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 /> ;255 rpt <br />