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ENVIRONMF„�TAL HEALTH DEPARTN@1 <br />304 E WESER AVE - 3RD FLOOR <br />STOCKTON, t;,4 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />Account ID <br />F AR0002341 <br />Facility ID <br />F FA0002327 <br />Date Printed <br />F 1/24/2005 <br />lummmoommanomommm <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 Amount <br />Invoice # IN0129223 -- Date of Invoice : 1/24/2005 <br />1/24/2005 2220 SM HW GEN <5 TONS/YR <br />1/24/2005 2244 2005 HAZMAT FEE <br />1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />PAYM EN T <br />RECEIVED <br />MAR - 9 2005 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />IIIIIIII VIII VIII VIIIVII VIII VIII VIIVII <br />VIIII IIIIII VIII IIII <br />S 200.00 <br />S 345.00 <br />S 24.00 <br />Total for this Invoice <br />$./ 569.00 <br />Payment Due Date <br />�- —3f23 05 <br />$ 569.00 <br />TOTAL DUE this Billing Period <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 thereafte <br />i15i rpt <br />