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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTM 'T <br />304 E WEBER AVE - 3RD FLOOR �. <br />STOCKTON, CA' 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON, CA 95205-4790 <br />Date Health <br />Descripton <br />Invoice # IN0115583 — Date of Invoice : 2/4/2004 <br />2/4/2004 2220 SM HW GEN <5 TONS/YR <br />2/4/2004 2244 2004 HAZMAT FEE <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />Page 1 <br />gcco,.•rx ID <br />AR0016247 <br />FaoTr,., n <br />145.00 <br />FFA0009247 <br />Date Pr–ed <br />F 2/5/2004 <br />RE: B&H TRANSMISSIONS INC <br />3422 E MINER AVE <br />STOCKTON, CA 95205 <br />OWNER: FORSLIND, RICHARD E <br />PAYMENT <br />RECEIVED <br />MAR 2 ` 20'4 <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Amount <br />S <br />200.00 <br />S <br />145.00 <br />S <br />24.00 <br />Total for this lnoi,-el $ <br />369.00 <br />Payment Due Date 3/6/2004 <br />TOTAL DUE this Billing Period S 369.00 <br />PAYM" <br />REr* <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 thereafte <br />;255.rpt <br />