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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIV Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0003169 <br /> Facility ID FA0003591 <br /> Date Printed L 2/2/2011 <br /> JAMES MICHAEL& ASSOC RE : JAMES MICHAEL& ASSOC <br /> <br /> STOCKTON, CA 95215-9536 <br /> OWNER : JAMES MICHAEL& ASSOCIATES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0210610---Date of Invoice : 1/31/2011 11111 1111 111111 11111 IN IN <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/28/2011 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/28/2011 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/28/2011 2360 ADDITIONAL UST $ 125.00 <br /> 1/28/2011 2360 ADDITIONAL UST $ 125.00 <br /> 1/28/2011 2362 UST FACILITY&1 TANK $ 550.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for this Invoice $ 1,107.00 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 1,107.00 <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 />