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.-WMWUuv l l-Pury I Y <br />ENVIRONMENTAL HEALTH DEPARTII <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />Date <br />INVOICE <br />B&H TRANSMISSIONS INC <br />PO BOX 1228 <br />STOCKTON, CA 95201-1228 <br />ncemi <br />Description <br />Invoice # IN0142628 -- Date of Invoice : 1/27/2006 <br />r <br />Page 1 <br />COPY <br />Account ID AR0016247 <br />Facility ID FA0009247 <br />Date Printed F 2/28/2006 <br />RE: B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON, CA 95205 <br />OWNER: FORSLIND, RICHARD E <br />1/27/2006 2220 SM HW GEN <5 TONS/YR <br />1/27/2006 2244 2006 HAZMAT FEE <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />Amount <br />I IIIIII IIIIII III VIII VIII IIID VIII VIII VIII VIII VIII <br />VIII <br />$ <br />IIII IIIIII VIII IIII IIII <br />200.00 <br />$ <br />145.00 <br />$ <br />24.00 <br />Total for this Invoice <br />$ <br />369.00 <br />Payment Due Date <br />3/1/2006 <br />$ <br />' 369.00 <br />TOTAL DUE this Billing Period <br />RECEIVED <br />MAR 2 3 2006 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEP.4RTMENT <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 thereaftei <br />i254.rpt <br />