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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM(jT Page 1 <br /> 3'.)4'F,WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0003702 <br /> Facility ID FA0004053 <br /> Date Panted 1/30/2006 <br /> LUSTRE-CAL NAMEPLATE CORP RE : LUSTRE-CAL NAMEPLATE CO <br /> 715 S GUILD AVE 110 E TURNER RD <br /> LODI, CA 95240-3153 LODI, CA 95240 <br /> OWNER : LUSTRE-CAL NAME PLATE CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142501 ---Date of Invoice: 1/27/2006 11111111111111111111 IN 111111111111111111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2232 HAZARDOUS WASTE CA FACILITY $ 717.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 495.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,436.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 1,436.00 <br /> t�4AR 1 0 2006 <br /> owswFEB o <br /> EfdPER�1T SER`J�E�ry <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 /> 1254.rpt <br />