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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD C AR001696 <br /> R <br /> Facility ID LFA0009966--j <br /> Date Printed L 3/15/2005 <br /> BARNES TRUCKING INC RE : BARNES TRUCKING INC <br /> PO BOX 675 1817 S FRESNO AVE <br /> APPLEGATE, CA 95703-0675 STOCKTON, CA 95206 <br /> OWNER : DAVID BARNES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128156---Date of Invoice: 1124/2005 IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII III IIIIII VIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAYMENT <br /> RECEI\/ED <br /> MAR 14 2005 <br /> SAN JOAGUIN 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 /> 5255.rpt <br />