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JHIV JUIRUUIN I.UUN I T <br /> ENVIRONMENTAL HEALTH DEPART i 4 , Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> PTO 95202 COPY <br /> Phone:e: (209(209)46 468-3420 <br /> INVOICE Account ID AR0016414 <br /> Facility ID FA0009414 <br /> Date Printed 1/26/2007 <br /> SILVA TRUCKING RE : SILVA TRUCKING <br /> PO BOX 1449 36 W MATHEWS RD <br /> FRENCH CAMP, CA 95231 FRENCH CAMP, CA 95231 <br /> OWNER : SILVA, DAVID <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0156554---Date of Invoice: 1/25/2007 1111111111 ME 111111111111111 IN III <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 375.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 605.00 <br /> Payment Due Date 2/25/2007- <br /> TOTAL DUE this Billing Period $ 605.00 <br /> PAYMENT <br /> RECIFIVEQ <br /> FEB 0 7 2007 <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 /> 5254.rpt <br />