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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME"' Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016593 <br /> Facility ID FA0009593 <br /> Date Printed 1/29/2009 <br /> ROBERT PHILLIPS TRUCKING RE : ROBERT PHILLIPS TRUCKING <br /> 10564 E ADA AVE 10564 E ADA AVE <br /> STOCKTON, CA 95215-1704 STOCKTON, CA 95215 <br /> OWNER : ROBERT PHILLIPS TRUCKING <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0185006---Date of Invoice : 1/29/2009 111HE 111111 111 11111 11111�IT 1111�1111�11111 11111 111 1111�IIII IIIIII 11111 1111�111 <br /> 1/29/2009 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 100.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 337.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 337.00 <br /> T <br /> P EGEyVEp <br /> R <br /> 009 <br /> pU1N GO <br /> U14 <br /> N�jN DEPAR MEtS� <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 />