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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3 <br /> AccountlD AR0003258 <br /> Facility ID FA0003680 <br /> Date Printed 1 3/12/2003 <br /> CALIFORNIA TANK LINES INC RE : CALIFORNIA TANK LINES INC <br /> P.O. BOX 6245 3105 S EL DORADO ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : ELLIS, ROBERT A JR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103247---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/27/2003 2232 HAZARDOUS WASTE CA FACILITY $ 717.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 435.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoicel $ 1,369.50 <br /> Payment Due Date 3/2W2003 <br /> TOTAL DUE this Billing Period $ 1,369.50`, <br /> PAYMENT <br /> RECEIVED <br /> MAR 12 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEAI.TH DIVISION <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.tpt <br />