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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr 'T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0027290 <br /> Facility ID FA0015758 <br /> Date Printed 2/12/2008 <br /> VAN DE POL ENT INC-PRIMARY RE : VAN DE POL ENT INC-PRIMARY <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : VAN DE POL ENTERPRISES INC. <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171978---Date of Invoice: 1/25/2008 I IIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII VIII IIII IIIIII IIIII IIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 390.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 627.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 627.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 2 <br /> 3 NJOA <br /> N RO UlN COUN7Y <br /> HEALT!1 DEPAR 7-AL <br /> ENr <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/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 /> 5254.rpt <br />