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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTWT • Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account 10 AR0003721 <br /> Facility ID F FA0004066 <br /> Date Printed F 1/30/2006 <br /> LONG, DAVID RE : STROCAL INC <br /> STROCAL INC 2324 NAVY DR <br /> 2324 NAVY DR STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : STROCAL INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142839—Date of Invoice: 1/27/2006 IIIIIIIIIIIII1111111111111II 111ii1NIII![IIIIIIIHIiIii1111111111111111111IN <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 480.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 704.00 <br /> r,��I Payment Due Date 3/1/2006 <br /> I J' I'= n TOTAL DUE this Billing Period <br /> 1d I � <br /> IJ <br /> t U 6 <br /> t <br /> A <br /> L I N C RE�eT. <br /> -- - - -- --- - BAR <br /> 19%,/o� 13 2°pa <br /> Job# Code Center FNh QU/A; <br /> Vendor JA{mountt Date • RECEI � TyD pAJy" '1CATj <br /> Authorized 2006 "r'f <br /> Approved for pay nt <br /> Pay when paid <br /> HOLD until notified <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 />