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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Pyrone: (209) 468-3420 <br /> INVOICE Account ID AR0007297 <br /> Facility ID FA0006195 <br /> LMOMMUMMOMMA <br /> Date Printed 3/1/2004 <br /> VALLEY INDUSTRIES RE : VALLEY INDUSTRIES <br /> <br /> LODI, CA 95240 <br /> OWNER : VALLEY INDUSTRIES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115446--Date of Invoice: 2/4/2004 <br /> 2/4/2004 2228 GEN 25<50 TONS PERMIT $ 1,792.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 645.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 2/15/2004 9997 CORRECTION TO A CHARGE ($ 1,792.00) <br /> 2/27/2004 2229 GEN 50<250 TONS PERMIT $ 2,016.00 <br /> Total for this Invoice $ 2,685.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $$ 2,688 :06 <br /> oda L4101 <br /> PAYM�vEp <br /> gp <br /> MAR 1 � 2004 <br /> FNj%IROt4MFN <br /> HEN-TF1 OEPAP <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 /> 5255.rpt <br />