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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMIWPA <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Amount ID AR0005637 <br /> Facility ID FA 0005189 <br /> Date Printed 1/28/2008 <br /> LEMMMEMENMENMENIIII <br /> TANTIYAVARONG, VACHARA RE : AMBERLAND COMPOSITES LLC <br /> AMBERLAND COMPOSITES LLC 2807 S HWY 99 <br /> 3632 DUCK CREEK DR STE F STOCKTON, CA 95205 <br /> STOCKTON, CA 95215-7940 <br /> OWNER : AMBERLAND COMPOSITES LLC <br /> Date Health Amount <br /> Program Description <br /> Invoice IN0170543—Date of invoice: 1/25/2008 Ili 0111111111111111111111111111111111111111111111111 <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 300.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 537.00 <br /> Payment Due Date 2127/2008 <br /> TOTAL DUE this Billing Period $ 537.00 <br /> PAYMENT <br /> I�ECENED <br /> FEB 14 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIPONMENTAL <br /> HATH 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 />