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SAN JOAQUIN COUNTY Page 1 <br /> ENWRONMENTAL HEALTH DEPART T <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountJD —AR 0-0-17 885 <br /> LEMSMISMEMMMMI <br /> Facility ID FA0010485 <br /> Date Printed F 2!27/2003 <br /> REPORT RADIATOR RE : REPORT RADIATOR <br /> P.O. BOX 5475 2817 CHERRYLAND AVE 13 <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : HAROLD ALLEN <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0103840—Date of Invoice: 2127/2003 <br /> 2/27/2003 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 /> To for this Invoice $ 487.50 <br /> Payment Due Date 3129/2003 <br /> TOTAL DUE this Billing Period /487.50 <br /> PAYMEW <br /> RECEIVED <br /> MAR 2 6 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERNCES <br /> ENVIRONMENTPd HF1LiH pMSSJN <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />