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JMIV owmWUIIV I VUIN 1 I <br />ENVIRONMENTAL HEALTH DEPARTIAW <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209)468-3420 <br />INVOICE <br /> <br /> <br /> <br />LJ <br />Page 1 <br />COPY <br />Account ID AR0002341 <br />Facility ID FA0002327 <br />Date Printed 1/26/2007 <br />RE: STOCKTON GOLF & COUNTRY CLUB <br />3800 COUNTRY CLUB BLVD <br />STOCKTON, CA 95204 <br />OWNER: STOCKTON GOLF & COUNTRY CLUB <br />Date Health <br />Program Description <br />Amount <br />Invoice # IN0156624 --- Date of Invoice : 1/25/2007 <br />1/25/2007 2220 SM HW GEN <5 TONS/YR <br />1/25/2007 2244 2007 HAZMAT FEE <br />1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />$ 206.00 <br />$ 345.00 <br />$ 24.00 <br />Total forthis Invoice $ 575.00 <br />Payment Due Date 2/25/2007 <br />TOTAL DUE this Billing Period $ 575.00 <br />REENT <br />CE) ED <br />FEB 2 (zoos <br />$NVIRONME COUNTY <br />HEALTH DEPARdq <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 OES / 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 />