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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 /> INVOICE AccounllD AR0022618 <br /> LMENOMMMMMMIll <br /> Facility ID FA 0013-5_14 <br /> Date Printed 3/3/2006 <br /> KOHLER POWER SYSTEMS-STOCKTON RE : KOHLER POWER SYSTEMS-STOCKTON <br /> 3955 E ARCH RD 3955 E ARCH RD <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : KOHLER POWER SYSTEMS-STOCKTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143249--Date of Invoice: 1/27/2006 IIIIIIIIIIIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII VIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 345.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forth;,Invoice $ 569.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 69.00 <br /> MAR 3 <br /> SAN JOAQUIN COUN I i <br /> ENVIRONMENTAL <br /> HEALTH DEP?RTMEN r <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 OES/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 /> i2i4.rpt <br />