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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMIf Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR . <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0007076 <br /> Facility ID FA0006076 <br /> Date Printed 2/28/2006 <br /> SJC PARKS & REC RE : SJC OAK GROVE PARK <br /> SJC OAK GROVE PARK 4520 EIGHT MILE RD <br /> 11793 N MICKE GROVE RD STOCKTON, CA 95209 <br /> LODI, CA 95240 <br /> OWNER : SJC PARKS & REC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142825---Date of Invoice : 1/27/2006 IIIIIIII VIIIIIIIIVIIVII VIIVIIIVIIVI IIIIIIII 111111111 IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> NOTICE <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 />