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JAN JUAUUIN UUUN I Y <br /> ENVIRONMENTAL HEALTH DEPART N Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 ef_.� w <br /> Phone: (209) 468-3420 0� <br /> I <br /> INVOICEAR0016539 <br /> Account lD <br /> Facility ID FA0009539 <br /> CASHLIENNOMMMININIMA <br /> _ MANAGEME Date Printed 1/28/2008 <br /> -----�- '-i -- <br /> LORENZO ESCARSEGA, TERMINAL MG RE : YARA NORTH AMERICA INC <br /> YARA NORTH AMERICA INC 3019 NAVY DR <br /> PO BOX 207 STOCKTON, CA 95206 <br /> STOCKTON, CA 95201-0207 <br /> OWNER : YARA NORTH AMERICA INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170248---Date of Invoice : 1/25/2006 II I I I I V I M VI V I VI VII V I V I VI I II II 111111111111 <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR S 213.00 <br /> 1/2512008 2244 2008 HAZMAT FEE $ 285.00 <br /> 1/2512008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 522.00 <br /> Payment Due Date 2127/200 <br /> DOC FM <br /> GL/f TOTAL DUE this Billing Period $ 522.00 <br /> ALL( <br /> AMT _ <br /> GL/1 _ <br /> ALLI _ <br /> AMI _ <br /> GL/1 _ <br /> ALLOC — <br /> AMT a <br /> PAYMENT <br /> DECEIVED <br /> 2 6 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONME <br /> jjELALTH 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 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 />