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SAF' 4fIIUIN COUNTY <br /> ENV,._—*NtM4TAL HEALTH DEPARTMr-'T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> 7- <br /> INVOICE Account ID AR0016443 <br /> LMEMMMEMMMMINA <br /> Facility ID FA0009443 <br /> Date Pnnted 1/28/2008 <br /> INNNINNINNOUNNOWMA <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 /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170206---Date of Invoice: 1/25/2008 IIIIIIIIIIIII VIIIVII VIIIVIIVIIVIIIVIIIVIIIVII IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 390.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 627.00 <br /> Payment Due Date 2/2712008 <br /> TOTAL DUE this Billing Period $ - 27.0 <br /> PAY <br /> ENT <br /> RECEIVED <br /> FEB 14 2008 <br /> PAY VOUC S�JOAONME OUN7y <br /> VENDOR# EPq M <br /> PAY D/L AT 7 <br /> DUE DATE: <br /> ACCOUNT# AA"�'::J FT <br /> AT 7- S <br /> AT 7- $ <br /> AT 7- S <br /> AT 7- <br /> RE <br /> DATE ENTRD: I <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 /> 5254.rpt <br />