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JAN JUAUUIN I:UUN I T <br /> ENVIRONMENTAL HEALTH DEPARTM* Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 COPY <br /> INVOICE Account ID AR0016802 <br /> Facility ID F FA0009 002 <br /> LIMEEMMMMMMMA <br /> Date Printed 2/28/2007 <br /> MOLDCRAFTERS RE : MOLDCRAFTERS <br /> 922 INDUSTRIAL WAY 922 INDUSTRIAL WAY <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : MARK BRYAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# INO,58299--Date of Invoice: 1/25/2007 111111111111111111111 HE HE 111111111111111111111111111111111111111111111111 <br /> 1/25/2007 2221 USED OIL ONLY-<5 TONS/YR $ 52.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 76.00 <br /> Payment Due Date 2/251 7 <br /> TOTAL DUE this Billing Period $ 76.00 <br /> NOPCE <br /> PAYMENT <br /> RECEIVED <br /> APR 2 4 2007 <br /> SAN JOAOUIN 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 OES/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 />