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JAN JUAWUIN UUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTIt�T v Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0003144 <br /> Facility ID FA000355- <br /> LMMMMENNEEMEMEM <br /> Date Printed 1/28/2008 <br /> LUMENNEMMEMOMM <br /> UNIVERSAL SWEEPING SERVICES RE : UNIVERSAL SWEEPINGS SERVICES <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : UNIVERSAL SWEEPINGS SERVICES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170250--Date of Invoice: 1125/2008 1111111111111111111111111 IN 1111 <br /> 1/25/2008 2220 SM HVI GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 300.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for[his Invoice $ 537.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ 537.00 <br /> �EC�IVED <br /> C1,10 CoutTv <br /> FEB 1 � 2008 <br /> ftotA AL <br /> NFA 0EPART <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 thereafter <br /> 5254 rpt <br />