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ENVIRONMENTAL HEALTH DEPARTM""T 600 E MAIN STREET STOCKTON, CA 95202 Phone: (209)468-3420 INVOICE B&H TRANSMISSIONS INC 3422 E MINER AVE STOCKTON, CA 95205 AccountlD Facility ID Date Printed RE: B&H TRANSMISSIONS INC 3422 E MINER AVE STOCKTON, CA 95205 Page 1 AR0016247 FA0009247 1/28/2008 Total for this Invoice $ 397.00 Payment Due Date 2/27/2008 TOTAL DUE this Billing Period K:4 397.00 PAYMENT RECEIVED MAR - 7 2008 SAN JOAQUI —Ut fly ENVIRONMENTAL HEALTH DEPARTMENT Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES / HMMP Fees For all SERVICE FEES 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 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter _z+ 'Pr OWNER: FORSLIND, RICHARD E Date Health Program Description Amount Invoice# IN0170127 --- Date of Invoice: 1/25/2008 VIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIIIIII IIIIII VIII IIII III 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 1/25/2008 2244 2008 HAZMAT FEE $ 160.00 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 Total for this Invoice $ 397.00 Payment Due Date 2/27/2008 TOTAL DUE this Billing Period K:4 397.00 PAYMENT RECEIVED MAR - 7 2008 SAN JOAQUI —Ut fly ENVIRONMENTAL HEALTH DEPARTMENT Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES / HMMP Fees For all SERVICE FEES 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 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter _z+ 'Pr