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SAN J&!%QUIN COUNTY Page 1 <br /> Ef VIRONME•NTAL HEALTH DEPARTi T <br /> 304 E iVEBER AVE -3RD FLOOR <br /> ,STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0025295 <br /> Facility ID FA0014827 <br /> Date Printed 2/5/2004 <br /> DE ROSE, FRANK RE : 99 SALVAGE & R CLING CENTER <br /> 99 SALVAGE & RECYCLING CENTER 430 MOFFAT B D <br /> 88 W DELIMA RD MANTECA, 95336-5736 <br /> LATHROP, CA 95330 <br /> OWNER : DE R E, FRANK <br /> Health Amount <br /> Date Program Description <br /> Invoice# IN0117548—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for is Invoice $ 224.00 <br /> P yment Due Date 3/6/2004 <br /> TOTAL D this Billing Period $ 224.00 <br /> MENT <br /> RECEIVED <br /> FEB 2 8 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Retum a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/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 />