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SANJOAdUIN COUNTY Page 1 <br /> -ENVIRONMENTAL HEALTH DEPARTP T <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017511 <br /> Facility 10 FA0010511 <br /> DatePnnted 1/24/2005 <br /> UNIV OF THE PACIFIC - PHARMACY RE : UNIV OF THE PACIFIC -PHARMACY <br /> 3601 PACIFIC AVE 751 W BROOKSIDE RD <br /> STOCKTON, CA 95211 STOCKTON, CA 95211 <br /> OWNER : UNIV OF THE PACIFIC( <br /> Date Health <br /> Program Description Amount <br /> Invoice 0 IN0126334—Date of invoice: 1124/2005 I II'IIIIIIIIII IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIVIIIVIIIIIII�IIIIIIIIIIVIIIIINIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 315.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 539.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 539.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2005 <br /> SAN JOADUIN COUNTY <br /> HEALTH DE ARTMEtJ'T <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 1 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 /> __.rpt <br />