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SAN jOAQUIN COUNTY Page 1 <br /> ENVIRC•NMF_NTAL HEALTH DEPART NT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0022618 <br /> Facility ID FA0013514 <br /> Date Pnnted 1/24/2005 <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 /> Prnoram Description u Amount <br /> Invoice# IN0128530—Date of Invoice: 1/24/2005 (IIIIIIII(III IIIVIIIVIIIVII VIII VIII II VIII VIII VIIIIIIIIIIIII VI IIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 360.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 584.0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 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 /> ilii.rpt <br />