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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTNW <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016284 <br /> Facility ID FA0009284 <br /> LMOMMMMMOMMENOM <br /> Date Printed 2/19/2009 <br /> ABELL CORP RE : POLY PROCESSING COt 1, ,r-C <br /> PO BOX 4150 8055 S ASH ST <br /> MONROE, LA 71211-4150 FRENCH CAMP, CA 95231 W�)j <br /> OWNER : ABELL CORP Q <br /> Date Health 'Y <br /> Program Description Amount <br /> Invoice# IN0184047---Date of Invoice: 1/29/2009 1111111111111111111 IN IN <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 390.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 627.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 627.00 <br /> RECD VED <br /> FEB: 19 2009 <br /> ViRONJAQUI N COUNTY <br /> Hi ART ENT <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 /> i2i4.rpt <br />