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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 AccountlD AR0016961 <br /> Facility ID FA0009961 <br /> Date Printed 5/6/2003 <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# IN0103649---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 270.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 7- — <br /> Total for this Invoice $ 514.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 514.50 <br /> L L o3 PAYMENT <br /> RECEI\/EC <br /> MM - 6 2003 <br /> SAN JOACUIN COUNT <br /> ENVIPuBucRONMENTAL HEALRHID ViSiON <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.ipt <br />