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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTF- 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD ARoolsass <br /> Facility l0 FAo009 669 <br /> LMOMMMENOMMENN <br /> Date Printed 2/14/2007 <br /> Immommommmmmom <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, ED/WAGONER, BRIAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156708---Date of Invoice: 1125/2007 111I1I11III1I IIVIII VIIVIIVIIIVIIVIIVIIIVIIIVII 1111111111111111111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 375.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Involcel $ 605.00 <br /> Payment Due Date 2125/2007 <br /> TOTAL DUE this Billing Period $ 605.0,0 <br /> PAYMERl7 <br /> RECEIVE) <br /> FEB 14 ,._ <br /> SAN JOAQUIN COUt,/ <br /> ENVIRONMENTAL <br /> HEALTH DEP.4R-KIENT <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 1 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 /> i254 rpt <br />