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vwv uvn�rvuv vvv,v r r <br /> ENVIRONMENTAL HEALTH DEPARTIT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0016460 <br /> Facility ID FA0009460 <br /> Date Printed F 1/24/2005 <br /> EAST BAY MUD RE : EAST BAY MUD <br /> PO BOX 24055 - MS704 1804 W MAIN ST <br /> OAKLAND, CA 94623-1055 STOCKTON, CA 95203 <br /> OWNER : EAST BAY MUD <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0129133--Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIII VIIIVIII VIIIIIIIIIIIII111I11111I11111 VIII IIII 111111111111111 IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 450.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 674.00 <br /> Payment Due Date 2/23/2005 <br /> --------------- <br /> TOTAL DUE this Billing Period E;47;4.00:1 <br /> 674.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 7 Lu ,, <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> PAYMENT <br /> RECEIVED <br /> FEB 7 2005 <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 60Days after the Invoice Date and each 30 Days thereafter <br /> 5Z5irpt <br />