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oivv JUAWUIN GUUN1Y <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 y <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0000380 <br /> Facility ID FA0000381 <br /> Date Printed 1/30/2006 <br /> LICENSING RE : RITE AID#6000 <br /> RITE AID#6000 520 W LODI AVE <br /> PO BOX <br /> <br /> PAYLESS INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143219---Date of Invoice: 1/2712006 IIIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/27/2006 2222 SILVER WASTE ONLY-<5 TONS/YR $ 50.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 74.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 74.00 <br /> FEB 1 7 2006 <br /> SAN JOgOUIN COUNTY <br /> ENVIgONMENTAL <br /> HEALTH DEPAR-MENT <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 DES/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 />