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ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCT(TON, CA 95202 - <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016443 <br /> Facility ID FA0009443 <br /> Date Printed 1/24/2005 <br /> AMTEX INC RE : AMTEX INC <br /> 550 CARNEGIE ST 550 CARNEGIE ST <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : LEAR/HAYASHI TELEMPU <br /> HeaRh <br /> Date Pram Description Amount <br /> Invoice# IN0129071 —Date of Invoice: 1124/2005 IIIIIIIIIIIII III IIIIIIIIIIIIIIIVII VIIIIIIIIIIIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 390.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> TO for this Invoice $ 614.00 <br /> Payment Due Date 212312005 <br /> TOTAL DUE this Billing Period $ 614.00 <br /> PAYVOUCHER <br /> VENDOR# <br /> PAY D/L <br /> AT 7 (iE)v <br /> DUE DATE: \ FEB 1 0 2005 <br /> ACCOUNT # ApryfaUNT QUIN�� <br /> AT 7— $ ; 04VIRONMP E TMEW <br /> AT7 $ pFfLfH� <br /> AT 7- $ <br /> AT 7- $ <br /> R F. <br /> DATE ENTRD: <br /> VOUCHER# <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 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 /> i2ss rpt <br />