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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTF' -NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 / <br /> INVOICE l// Account 10 ARoo17429 <br /> LNINEEMENNOMMMEM <br /> Facility ID F FA001042 <br /> LNUMNOWNIMMEMMIll <br /> Date Printed 3/27/2003 <br /> hNMEWWWWOMMMA <br /> DOUBLE A TRUCK SVC RE : DOUBLE A TRUCK SVC <br /> P.O. BOX 7310 1675 W CHARTER WAY D <br /> STOCKTON, CA 95267 STOCKTON, CA 95206 <br /> OWNER : ANDREW SALMERON SR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103822--Date of Invoice: 2127/2003 <br /> 2127/2003 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 /> Total for this Invoice $ 487.50 <br /> Payment Due Date 3129/2003 <br /> TOTAL DUE this Billing Period $ ---4ff-W <br /> PAYMENT <br /> RECEIVED <br /> MAY - 9 2003 <br /> POAQUIN COUNTY <br /> UBLICO HEALTH SERVICES <br /> -- - --- - — — EMM n•� eAtTH DN46104 - — <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 /> 5255.tpt <br />