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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP' 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR '► <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0007188 <br /> Facility ID FA0006141 <br /> Date Printed 1/30/2006 <br /> A L POWELL RE : A L POWELL TRUCKING <br /> <br /> ESCALON, CA 95320 <br /> OWNER : POWELL, A L TRUCKING <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143633---Date of Invoice : 1/27/2006 111 11111 11111 11111 11111 11111 11111 11111 11111 11111 IN IIIIII IIIII IIII IN <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 539.00 <br /> Payment Due Date 06 <br /> TOTAL DUE this Billing Period $ 539.00 <br /> RECEiVC-p <br /> FEB 15 f uU,, <br /> SAENJOAOUIN COUNTY <br /> I- EM/11 NMENTAI <br /> ALTH DEPARTMEN7- <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 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 /> 5254.rpt <br />