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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT copyP1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE \ L Account 10 F AR0018012 <br /> c`pr' t Jb Fadlityl0 FFA0011012 <br /> , ( Date Ported 113 112 01 1 <br /> PACIFIC COAST INDUSTRIES )J RE; PACIFIC COAST INDUSTRIES <br /> 4101 HOLLY DRIVE '1 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# IN0211192—Date of lnvolce: 1131!2011 IIIIt IIIINII II�IIII'III�I�III u'�Il�lll�lun l�lllllll�l'llul 11/111111 <br /> 1/28/2011 2220 SM HW GEN G5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 360.00 <br /> 1128f2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for thU lnvolce $ 622.09 <br /> Payment Due Data 3/212011 <br /> TOTAL DUE this Billing Period $ 622.00 <br /> �gtz�;c Coosj0jusfele5 Clfee1 64t 4ec/ liVU„�ale o„ /? 3112.10 <br /> Pkk3e rewcee, our cbHfa•y /IGlISe yp^ v�LortJ <br /> JBa Vnc �Se9 le ler 1° ( <br /> r t/er�s/• <br /> 5i+6qr / ll, - , <br /> -.. ----"--- <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 I 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 atter the Invoice Date 60 Days after the Invoice Date and each 30 Days then afte <br /> 5254.rpt <br />