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OAN JUHllU114 I.UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMO • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR 0-03535 <br /> Lmizilemommmamell <br /> Facility ID FA0003930 <br /> Inwelismanommma <br /> Date Printed 1/26/2007 <br /> Imommwnmmmmmmmg <br /> KING ISLAND RESORT RE : KING ISLAND RESORT* <br /> 14900 W HWY 12 11530 W EIGHT MILE RD <br /> LODI, CA 95242 STOCKTON, CA 95219 <br /> OWNER : WESTRECINC <br /> Date Health <br /> Proqram Description Amount <br /> Invoice# IN0157551 ---Date of Invoice: 1/2512007 VIII IIIIVIIIVIIIVIIIIIIIIIIIIIIVIIVIIVII/IIIIIIVII/II/II <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 285.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 515.00 <br /> Payment Due Date 2/25/2007.- <br /> --\ <br /> TOTAL DUE this Billing Period $ 515.00 <br /> PAYMENT <br /> RECEIVED; <br /> FEB 2 6 2007' <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> 5254.rpt <br />