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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM—k1T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016961 <br /> Facility ID FA0009961 <br /> Date Printed `3/26/2008 <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# IN0170376---Date of Invoice: 1/25/2008 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 <br /> IIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 270.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> 3/15/2008 9997 CORRECTION TO A CHARGE ($ 27.00) <br /> Total for this Invoice $ 507.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 507.00 <br /> RECE vED <br /> 2 6 2008 <br /> SAN JOAOUIN C <br /> N�UTH 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 /> 5254.rpt <br />