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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM� Page 1 <br /> 600 E MAIC STREET <br /> Phone:STOCKON,209 46 95202 ,� COPY <br /> Phone: (209) 468-3420 <br /> INVOICE )L 03) Account ID AR0030013 <br /> �( ( � Facility ID FA0017131 <br /> Date Footed 3/31/2010 <br /> STEVEN RE : EHLERS CUSTOM <br /> R <br /> H EH ERS & SONS IN � 201011 STATE ROUTE FARMING <br /> <br /> $ <br /> OWNER : H FREERS & SONS INC <br /> n„e Health <br /> Program Description Amount <br /> Invoice# IN0199929--Date of Invoice : 2/2/2010 IIIIIII III VIIVIIVIIVIVIVIIVIVIIVIIIIIIII IIIIIIIII IIII <br /> 2/1/2010 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 2/1/2010 2223 AGRICULTURAL HAZ MAT STORAGE FACILITY $ 18.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for[his Invoice $ 280.00 <br /> Payment Due Date 314/2010 <br /> TOTAL DUE this Billing Period $ 280.00 <br /> REQ�v O <br /> PlAkCST D60 <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <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 I 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 /> 52S4.rp[ <br />