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OAN JUn%AU11Y UUUN I i Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTI"'T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017154 <br /> Facility ID I F FA0010154 <br /> Date Printed 1/26/2007 <br /> GOLDEN STATE IRRIGATION SVCS RE : GOLDEN STATE IRRIGATION SVCS <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : VALMONT INDUSTRIES <br /> Date Health <br /> Program, Descc;tion _ _ Amount <br /> Invoice# IN0156796---Date of Invoice: 1/2512007 IIIIIIIIIIIIIVIIVIIIVIIVI VIIIVIIVIIIVIIVIIIIIIIIIuIIIIIIII <br /> 1/25/2007 2221 USED OIL ONLY-<5 TONS/YR $ 52.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 391.00 <br /> N� Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 391.00 <br /> SW N OAut4 <br /> �,�H p PAR�ENf <br /> BY <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 I 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 />