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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 600 E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account 11) AR0017511 <br /> Facility ID FA0010511 <br /> Date Printed 1/28/2008 <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 <br /> Program Description Amount <br /> Invoice fl IN0170539—.Dale of Invoice: 1/25/2008 IIIIIII II I III IIIII IIIII VIII VIII IIIII IIIII VIII IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 315.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 552.00 <br /> Payment Due Date 2/278 0`8 <br /> TOTAL DUE this Billing Period $ 552.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2008 <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <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 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 /> 5254 rpt <br />