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SAN JO 4QUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTOVT • <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0006263 <br /> Facility ID FA0 00 6630 <br /> Date Printed 2/25/2005 <br /> Lanummommommommomm <br /> CENTRAL VALLEY WASTE SVCS -TU RE : CENTRAL VALLEY WASTE SERVICES <br /> PO BOX 241001 1333 E TURNER RD <br /> LODI, CA 95241-9501 LODI, CA 95241 <br /> OWNER : USA WASTE SYS INC <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0129342--Date of Invoice: 1/2412005 IIIIIIIIIIIII VIIVIIIVIIIVIIVIIVIIIVIIIVI VIIVI (IIIIIIIII IIIIIIIII IN <br /> 1/24/2005 2229 GEN 50<250 TONS PERMIT $ 2,016.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 420.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ <br /> Total for this linvoicel F12,460.00 <br /> Payment Due Date 23/ 5 <br /> TOTAL DUE this Billing Period $ 2,460.00 <br /> 9 <br /> Mqq ? c �5 <br /> AYMENT <br /> ECEIVED <br /> MAR - 3 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 /> 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 /> 5255.rpt <br />