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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTII <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0022732 <br /> LMNEMMMMMMEMA <br /> Facility ID FA0013598 <br /> Date Pnnted 2/8/2008 <br /> TATE, MICHAEL RE : VIKING AUTOMATIC SPRINKLER COMPANY <br /> VIKING AUTOMATIC SPRINKLER COMPANY 1102 BLACK DIAMOND WAY <br /> 3245 NW FRONT AVE LODI, CA 95240 <br /> PORTLAND, OR 97210 <br /> OWNER : TATE, MICHAEL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170730•..Date of Invoice: 1/25/2008 IIII(IIIIII II VIII VIII VII VII VIIIV VII VII IIIIIIIIIIII 11111 IN IIII <br /> 1/15/2008 9991 Credit Adjustment ($ 140.00) <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 285.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Involcel $ 382.00 <br /> Payment Due Date 2/2712008 <br /> TOTAL DUE this Billing Period $ �" 382.00 <br /> I <br /> PAYMENT <br /> RECFIN/ten <br /> FEB 8 2U, <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMEW 11 <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 /> 5254 rpt <br />