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Page 1 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTh _T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 AR0013264 <br /> Account ID <br /> INVOICE <br /> Facility M FA0007676 <br /> Date Printed 1/24/2005 <br /> ORLIN KOEHMSTEDT <br /> RE : DELTA RADIOLOGY MEDICAL GRP <br /> 1617 N CALIFORNIA ST 1A <br /> DELTA RADIOLOGY MEDICAL GRP STOCKTON, CA 95204 <br /> 2320 N CALIFORNIA ST <br /> STOCKTON, CA 95204 OWNER : DELTA RADIOLOGY MEDICAL GRP <br /> A <br /> Health mount <br /> Oa!= Program Ocxri;!ic^ <br /> Invoice# IN01 28658—Date of invoice: 1124/2005 $ 5000.00 <br /> 1/24/2005 2222 SILVER WASTE ONLY-<5 TONS/YR $ 24.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice $ 74.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period <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 OES/HMMP Fees <br /> 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 t <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 /> ilii rpt <br />