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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF 'T <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016222 <br /> Facility ID FA0009222 <br /> Date Printed F 1/30/2006 <br /> LUNMEMEMENEONWO <br /> CAMPORA PROPANE SERVICE RE : CAMPORA PROPANE SERVICE <br /> 1421 N HUNTER ST 2525 S MARIPOSA RD <br /> STOCKTON, CA 95202 STOCKTON, CA 95205-7820 <br /> OWNER : TP CAMPORA/RON CAMPORA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142618---Date of invoice: 1127/2006 1p1111HIT p1p11111p1pp11111111111pp11ppp11111p1pp11p11p111p111p1 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date /1/2006 <br /> FS'4 -' p�pLi' TOTAL DUE this Billing Period $ 524.00 <br /> FEB 0 ti 2006 <br /> ACCOUNTING <br /> RCMV��T <br /> FEB 15 <br /> 3 NOACUj&COU. <br /> HEALTH pPAR M NT <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 />