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03/09/04 TUE 12:01 FAX 714 428 8087 TWCO MARKETING C0?1PdNY U 00) 3 <br /> S,AN JZAQUIN COUNTY t� r <br /> ENVIRONMENTAL HEALTH DEPART `l yr I Cx�� <br /> 304 E WEBER AVE-3RD FLOOR /� n, <br /> STOCKTON, CA 95202 y <br /> Phone: (209)466-3420 eya/ <br /> AccountlD <br /> INVOICE �y AR0003673 <br /> Facility lD I FA0004033 <br /> Date Pdnt*d2/5/2004 <br /> <br /> <br /> STOCKTON, CA 95207 <br /> OWNER : TOSCO NORTHWEST CO <br /> Health Amount <br /> lsrogram -- <br /> Invoice 0 IN0116449—Date of InvOiCe' 2/412004 S 200.00 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 285.00 <br /> 21412004 2244 2004 HAZMAT FEE 5 15.00 <br /> 214/2004 2301 UST STATE SURCHARGE S 15.00 <br /> 2/412004 2301 UST STATE SURCHARGE S 15.00 <br /> 21412004 2301 UST STATE SURCHARGE S 125.00 <br /> 2/4/2004 2360 ADDITIONAL UST S 125.00 <br /> 2/4/2004 2360 ADDITIONAL UST S 500.00 <br /> 2/4/2004 2362 UST FACILITY&t TANK S 24.00 <br /> 214!2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FETE _ <br /> Total Tor this Invoice g 1,304.00 <br /> Payment Due Data 31612004 <br /> TOTAL DVE this Billing Period <br /> REQ QED <br /> MAR 12 20nh <br /> SAN AL <br /> NV PONME TMew <br /> Hep7H DEPAR <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For ail SERVICE FEES <br /> Penalties will 6e added to all Permit Fees For OES/HMMP Feas penalties will he added at the Rate of t0'/, <br /> at the Rate of t00%of the Dasa Fee Penalties will added at the Rate of 10% 60 Das after the Invoice Date and each 30 Days.thereafter <br /> 30 Days after the Due Data 45 Days after <br /> ter the Invoice:Date Y <br /> 5355apt <br />