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SAN JOAQUIN COUNTY <br /> ENVIRPNMM,cNTAL HEALTH DEPARTVT • Page 1 <br /> 304E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 ✓// <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0018o12 <br /> LMMMMMMMMMMA <br /> Facility ID F FA00 11012 <br /> Date Printed 3/25/2003 <br /> PACIFIC COAST MS INDUSTRIES IN RE : PACIFIC COAST INDUSTRIES <br /> P.O. BOX 1081 4101 N HOLLY DR <br /> TRACY, CA 95378 TRACY, CA 95376 <br /> OWNER : CURTIS MARUYASU AMERICAN INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103945---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 285.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoicel $ 502.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 502.50 <br /> FNI�gN����go�/Sc�On' <br /> NFq <br /> Roil) <br /> l4",esN <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 />