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SAN JOAQUIN COUNTY • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Ac rt ID nRoolssla <br /> FadRty ID F FA000961 S <br /> Date Prr.''ed F 2/5/2004 <br /> STEVE GARCIA RE : FOOD EXPRESS INC <br /> WALTER KEENEY 1250 E MADRUGA RD <br /> <br /> <br /> OWNER : WALTER KEENEY <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0115737•—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE S 360.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> Total for this Invoice $ 584.00 <br /> Payment Due Date 316/2004 <br /> TOTAL DUE this Billing Period 584.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 17 2004 <br /> SAN JOAQUIN COUNTY <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 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 /> 5255.rpt <br />