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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART'',NT <br /> 600 E MAIN STREET 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AcwuntID AR0022615 <br /> Facility ll) FA0013511 <br /> Date Pnnted 4/25/2007 <br /> FELICIANO,ANGEL M RE : PASQUALA&ANGEL'S MARBLE INC <br /> PASQUALA&ANGEL'S MARBLE INC 4025 E ARCH RD <br /> 4025 E ARCH RD STOCKTON, CA 95215 <br /> STOCKTON, CA 95215 <br /> OWNER : PASQUALA&ANGEL'S MARBLE INC <br /> Date Health -. Amount <br /> -Prp9ram - Description _ q <br /> Invoice# IN0157087—Date of Invoice: 112512007 I IIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIIIIIII IIIIIII�IIIIIIIIIII(I�� <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 4/15/2007 9994 PERMIT FEE PENALTY $ 206.00 <br /> Total for this Invoice $ 436.00 <br /> Payment Due Date 2/2512007 <br /> TOTAL DUE this Billing Period $ 436.00 <br /> E s'?? [= YOUFs <br /> FA,y v t r F b yrt <br /> .4'r jl t- 4-v-'.3tq <br /> YOt'P t_;r H• F?fJI17 FOh <br /> WILL r.'-jT i:•'_ +._<. D JNTII <br /> PHS f.[;,_:rt'ai�illJi$ e�! <br /> P��'\\IEO <br /> A •�pli7 <br /> MAV <br /> _ <br /> SN <br /> NWEONMEMENTSP <br /> HFp't.TH DEPAR <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 /> 5254.rp1 <br />