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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP' IT Page 1 <br /> 304 E WEBER-AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0017154 <br /> Facility 10 FA0010154 <br /> Date Printed 3/24/2003 <br /> GOLDEN STATE IRRIGATION SVCS RE : GOLDEN STATE IRRIGATION SVCS <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : JAMES CLARE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103721 —Date of Invoice: 2/27/2003 <br /> 2/27/2003 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 315.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total forthis Invoicel $ 382.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 382.5 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 4 2003 <br /> SAN JOAOUIN COUNTY <br /> SRACES <br /> ENVIRONMFNTAtLTH HFAE H[tMSIf1N <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 /> 5255.rpt <br />