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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMI Page 1 <br /> 304 E WEBER AVE -3RD FLOOR J <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR 0013-2—58 <br /> Facility ID FA0007670 <br /> LEEMMMOMMOMMA <br /> l -2 Date Printed 2/27/2003 <br /> MARLEY COOLING TOWER CO RE : MARLEY COOLING TOWER CO <br /> 200 N WAGNER AVE 150 N SINCLAIR AVE <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : MARLEY COOLING TOWER CO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103240—•Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2233 HAZARDOUS WASTE CESQT FACILITY $ 112.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 450.00 / <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 779.50 <br /> Payment Due Date 3/ 003 <br /> TOTAL DUE this Billing Period $ / 779.50 <br /> r <br /> c <br /> PAYMENT APPROVAL <br /> ... . <br /> PAYMENT DUE...........ET. ..........PAYS <br /> DATE NET...........'. <br /> CASH DISC.............% BY pA7 jr <br /> � 3 <br /> pF1tCE CHECKED <br /> tl <br /> QUANTIN CHECK <br /> PPRO`1E0 FOP PYMT. 5 <br /> PAYMENT <br /> CHARGE ACCOUNT NQ D RECEIVED <br /> MAR 1 7 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />