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bAN JVAWUIN 1,UUN I T <br /> ENVIRONMENTAL HEALTH DEPART Page Page 1 <br /> 304E WEBER AVE -3RD FLOOR <br /> Phone:STOCKON,209 46 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0009264 <br /> LMMMOMMOMMEA <br /> Facility ID FA0006764 <br /> Date Printed F 1/30/2006 <br /> lummmmmLmmmmmmmm <br /> INDEPENDENT TRUCKING RE : INDEPENDENT TRUCKING <br /> 1145 W CHARTER WAY 1145 W CHARTER WAY <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : ALLIED WASTE INDUSTRIES <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143158--Date of Invoice: 1/27/2006 IIIIIIIIIIIII III VIII VIIIIIIIIIIIIIIIII VIIIIIIIIIIiI VIII IIIIIIIIII IIIIIIIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 390.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this lnvolce $ 614.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period V"614.00 <br /> �'AYREC` <br /> FEB <br /> ''^wAONM COUNTY <br /> ENTAL <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 DES/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 />