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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0017064 <br /> Facility ID FA0010064 <br /> Date Printed 1/24/2005 <br /> IMMNAMMNENNMMNA <br /> E-Z VENT SHEET METAL PROD INC RE : <br /> E-Z VENT 1 05 TILLIE LEWIS ETAL A PROD INC <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : DONN, FRED M & CONNIE <br /> Health Amount <br /> Date Program Description <br /> Invoice# IN0128591 --Date ofinvoice: 1/24/2005 ��������IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111IE1111111111IN111111111111111IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 285.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 2123/2005 <br /> TOTAL DUE this Billing Period $ 509.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2005 <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 /> Eas will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> e Rate of 100%of the Base Fee Penalt:Day <br /> will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date s after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />