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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTF 'T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016291 <br /> Facility ID FA0009291 <br /> Date Printed 4/26/2004 <br /> LEMENNEEMEMMUMEME <br /> TED'S WELDING & REPAIR RE : TED'S WELDING & REPAIR <br /> PO BOX 726 8932 E HWY 12 <br /> VICTOR, CA 95253 VICTOR, CA 95253 <br /> OWNER : G WILLIAM BRAUN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115604—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 300.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> 4/15/2004 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this invoice $ 754.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 754.00 <br /> PAST DUE! <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! <br /> QTTENfl N <br /> yn M(TEAM- HERMIT FOR <br /> THE CUR,-,E,',T YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL <br /> PAYMENT <br /> RECEIVED <br /> MAY 2 4 2004 <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 OEESat the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at tate=10%30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and 30 <br /> 5255.rpt <br />