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V-I1 VVP1wwllY I,VVIV 1 1 <br /> ENVIRONMENTAL HEALTH DEPARTM"`tT Page 1 <br /> 600 E MAIN STREET - <br /> STOCKTON, CA 95202 CO <br /> <br /> INVOICE <br /> Account ID AR0003258 <br /> Facility ID _ FA0003680 <br /> Date Printed 1/28/200 <br /> CALIFORNIA TANK LINES INC RE : CALIFORNIA TANK LINES INC <br /> PO BOX 6245 3105 S EL DORADO ST <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : ELLIS, MIKE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0169979---Date of Invoice: 1/25/2008 11111111 111111 III IIIII VIII VIII VIII VIII VIII VIII IIIII IIIII VIII 11111111111 <br /> IIII IIII <br /> 1/25/2008 2228 GEN 25<50 TONS PERMIT $ 1,911.00 <br /> 1/25/2008 2232 HAZARDOUS WASTE CA FACILITY <br /> $ 765.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 435.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 3,135.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 3,135.00 <br /> PAYMENT <br /> RECEIVFr) <br /> FEIN 5 aw <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 />