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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTF&T • Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD F AR0018012 <br /> LUMMMMMMMOUNNI <br /> Facility ID FA 0-110 2- <br /> LUMMMMMMMMMONIM <br /> Date Printed 2/9/2005 <br /> PACIFIC COAST INDUSTRIES RE : PACIFIC COAST INDUSTRIES <br /> PO BOX 1081 4101 N HOLLY DR <br /> TRACY, CA 95378 TRACY, CA 95376 <br /> OWNER : PACIFIC COAST MS INDUSTRIES IN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128422—•Date of Invoice: 1/24/2005 IIIIIII VIII VIIIVIIIVIII III IIIVIIIVII IIIIIIIIIIIIIIVI II VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 360.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ / 584.00 <br /> o � P <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 /> 5255.rpt <br />