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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMFNT <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209)468-3420 <br />INVOICE <br />RON BENEDIX <br />25888 E DODDS RD <br />ESCALON. CA 95320 <br />..d <br />Page 1 <br />Account ID <br />AR0030244 <br />Facility ID <br />F FA00 77362 <br />Date Printed <br />F 2/2/2010 ` <br />RE: RON BENEDIX <br />25888 E DODDS RD <br />ESCALON, CA 95320 <br />OWNER: RON BENEDIX <br />Dale Health <br />Program Description Amount <br />Invoice # IN0200122 -- Date of Invoice : 2/2/2010 <br />2/1/2010 <br />2220 <br />SM HW GEN <5 TONS/YR <br />2/1/2010 <br />2223 <br />AGRICULTURAL HAZ MAT STORAGE FACILITY <br />2/1/2010 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />2/1/2010 <br />ERSC <br />ELECTRONIC REPORTING SURCHARGE <br />I IIIIIII Ililll III VIII ILII VIII VIII VIII IIT VIII VIII VIII IIII <br />S <br />IIIIII VIII IIII IIII <br />213.00 <br />S <br />18.00 <br />S <br />24.00 <br />S <br />25.00 <br />Total for this Invoice $ 280.00 <br />Payment Due Date 3/412010 <br />TOTAL DUE this Billing Period $ 280.00 <br />FEB 1 9 2010 <br />DIN <br />RLTH <br />Xrn- PERMIT/SERVICES <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 />_> 1 rpt <br />