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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTV T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Amount 10 ARoo17511 <br /> Facility ID FA0010511 <br /> LMMMMMMMEMNMI <br /> Date Panted2/5/2004 <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 -PHARMACY <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0116043—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 285.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 509.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 4 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> TH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy oiiLs STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES I 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 /> 5255.ryt <br />