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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMES Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 COPY <br /> INVOICE AccountlD �AR— <br /> Facility <br /> ID FA0004495 <br /> � e <br /> Date Printed _1/26/2007 <br /> RO LAB AMERICAN RUBBER CO RE : RO LAB AMERICAN RUBBER CO <br /> PO BOX 450 8830 W LINNE RD <br /> TRACY, CA 95378-0450 TRACY, CA 95304 <br /> OWNER : RO LAB AMERICAN RUBBER CO INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0156361 ---Date of Invoice: 1/25/2007 IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII IIII IIIIII 11111 <br /> IIIIIIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 390.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 620.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 620.00 <br /> PAYMENT <br /> MAR 0 6 soot <br /> SAN JOAQUIN COUNT`( <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 />