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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM!" Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016961 <br /> Facility ID FA0009961 <br /> Date Printed I 2/28/2006 <br /> CALIFORNIA STATE BLDG RE : CALIFORNIA STATE BLDG <br /> 31 E CHANNEL ST#108 31 E CHANNEL ST 108 <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 <br /> OWNER : CALIFORNIA STATE BLDG <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142885---Date of Invoice : 1/27/2006 111111111111 h 11111 11111 111 11E It 1$11111 11111 1111�1111 11111�111 IN IN <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 494.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 494.00 <br /> PAYN;`[\IT <br /> RDO,E-1 J-D <br /> MAR - 1 2006 <br /> SAN JOAOUItIN3 COUNTY <br /> ENVIRONMENTAL ;' <br /> HEALTH DEPAPTMEN'(' <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 /> ;2;4.rht <br />