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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR001 3301 <br /> Facility ID FA0007703 <br /> Date Printed 2/5/2004 <br /> lomwmmmmmmmommd <br /> MANTECA AP RE : ADVANCED INTERCONNECT <br /> ADVANCED INTERCONNECT TECHNOLOGIES TECHNOLOGIES <br /> 6800 KOLL CENTER PKWY STE 220 555 CARNEGIE ST <br /> PLEASANTON, CA 94566 MANTECA, CA 95337 <br /> OWNER : ADVANCED INTERCONNECT TECH <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115465---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2231 HAZARDOUS WASTE PBR FACILITY $ 717.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 525.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice 1 $ 1,466.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ i 1,466.00 <br /> i I <br /> u <br /> ENrERFD <br /> r . <br /> BY <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2004 <br /> SAN JOAQUIN 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 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 /> 5255.rpt <br />