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..— vnayijur a Uu1V I T <br />ENVIRONMENTAL HEALTH DEPARTMIF <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />B&H TRANSMISSIONS INC <br />PO BOX 1228 <br />STOCKTON, CA 95201-1228 <br />Page 1 <br />Account ID <br />AR0016247 <br />Facility ID <br />FA0009247 <br />Immmummwmmmmmn <br />Date Printed <br />F 1/26/2007 <br />RE: B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON, CA 95205 <br />OWNER: FORSLIND, RICHARD E <br />L Dale Health <br />Program Description <br />Amount <br />Invoice # IN0156484 --- Date of Invoice : 1/25/2007 <br />1/25/2007 2220 SM HW GEN <5 TONS/YR <br />1/25/2007 2244 2007 HAZMAT FEE <br />1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIIIIIIIIIIIII VIIIVIIIVIIIVIIIVIIIIIIIIIIIIIVIII <br />VIIIIIIIIIIIII <br />$ <br />VIII IIII IIII <br />206.00 <br />$ <br />145.00 <br />$ <br />24.00 <br />Total for [his Invoice <br />$ <br />375.00 <br />Payment Due Date <br />2/25/2007 <br />TOTAL DUE this Billing Period $ 375.00 <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 thereafte <br />'a r,i <br />