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SAN JOACirIN COUNTY <br />ENVIRONMFNTAL HEALTH DEPART r <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />Account lb I AR0016247 <br />Facility ID F FA0009247 <br />Date Printed F 2/27/2003 <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 <br />B&H TRANSMISSIONS INC <br />RE: B&H TRANSMISSIONS INC <br />Penalties will be added at the Rate of 10 <br />30 Days after the Due Date <br />3422 E MINER AVE <br />3422 E MINER AVE <br />STOCKTON, CA 95205-4790 <br />STOCKTON, CA 95205 <br />OWNER: FORSLIND, RICHARD E <br />Date <br />Health <br />Pro0ram Deccriptioa <br />Amount <br />Invoice # IN0103379 —Date of Invoice : 2/27/2003 <br />2/27/2003 <br />2220 SM HW GEN <5 TONS/YR <br />$ 200.00 <br />2/27/2003 <br />2244 2003 HMMP Annual Fee <br />$ 145.00 <br />2/27/2003 <br />2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />$ 1750 <br />Total for this Invoice <br />$ 362.50 <br />Payment Due Date <br />3/29/2003 <br />$ 362.50 <br />TOTAL DUE this Billing Period <br />PAYMENT <br />RECEIVED <br />MAR 2 4 2003 <br />SAN JOAQUIN COUNTY <br />PUBLIC TH SER�TES <br />ENVIRONMENTALLHEALTH DWSION <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 <br />For all SERVICE FEES <br />at the Rate of 100% of the Base Fee <br />Penalties will be added at the Rate of 10 <br />30 Days after the Due Date <br />60 Days after the Invoice Date and each 30 Days thereafter <br />5255.rpt <br />