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SANJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME' Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0016869 <br /> Facility ID FA0009869 <br /> Date Pnnted 2/12/2009 <br /> HENRIQUES, EDIWAGONER, BRIAN RE : JM EQUIPMENT CO INC <br /> JM EQUIPMENT CO INC 1245 W CHARTER WAY <br /> 1245 W CHARTER WAY STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : HENRIQUES, EDfWAGONER, BRIAN <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0184246---Date of Invoice: 1/29/2009 �111111111111111111111 HE 11111111111111111111111111111111111 IN 11111111111 IN 1111 <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 375.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 612.00 <br /> Payment Due Date 2/26/2009 <br /> TOTAL DUE this Billing Period $ 612. <br /> PAY <br /> ENT <br /> RECEIVED <br /> FEB 12 2009 <br /> SAN JOAQUIN COU <br /> ENVIRONMENTAL <br /> HEALTH DEPARTA4ENr <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 /> 52i4 rpt <br />