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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRON,MENTAL HEALTH DEPARTT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017064 <br /> Facility ID FA0010064 <br /> LMMOMENOMMMONE <br /> Date Printed 1/30/2006 <br /> E-Z VENT SHEET METAL PROD INC RE : E-Z VENT SHEET METAL PROD INC <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : DONN, FRED M & CONNIE <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0143308---Date of Invoice: 1127/2006 IIIIIIIIIIIIIIII VIII VIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII IIII IIIIII(IIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 285.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 509.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2006 <br /> SAN,IOAQUIN!:AUNTY <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 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 /> 5254.rpt <br />