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SAN JOAQUIN COUNTY Page 1 <br /> EXWRONMENTAL HEALTH DEPARTr "T <br /> 304 E WEBER AVE -3RD FLOOR v �. <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016845 <br /> LMMOMMOOMMUMMM <br /> Facility ID FA0009845 <br /> Date Pnnted 1/24/2005 <br /> DELTA SIGNS RE : DELTA SIGNS <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : HOFFMAN, CURT <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128112—Date of Invoice: 1/24/2005 IIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIVIIVIIIIIIIVIIVIIII IIIIII VIII IN IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 285.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> To for Nis Invoice $ 509.00 <br /> Payment Due Date 2/ <br /> TOTAL DUE this Billing Period $ 509.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 thereafter <br /> 52i5 rpt <br />