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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME* <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0005748 <br /> Facility ID FA0005287 <br /> Date Printed 1/26/2007 <br /> HERMAN & HELENS MARINA RE : HERMAN & HELENS MARINA <br /> 15135 W EIGHT MILE VENICE ISLAND FERRY 15135 W EIGHT MILE RD <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 <br /> OWNER : SMITH, ANDREW <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0157066---Date of Invoice: 1/2512007 1111111111IN1111111111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 545.00 <br /> Payment Due Date 2/25/2007 <br /> 1 <br /> TOTAL DUE this Billing Period $ 545.00 <br /> RE�M�ED <br /> MAR 0 5 206 <br /> HEqLN7 VTY <br /> H pe P44� E <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 I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100 e of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate'1 <br /> 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 />