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JHIN JUAUUIIV UUUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> <br /> INVOICE AccountlD AR0003258 <br /> aee.a� <br /> Facility ID FA0003680 <br /> Date Printed 11/29/2009 <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 Amount <br /> Invoice# IN0183876---Date of Invoice: 1/29/2009 1MIT 111111 111 11111 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 IN IN <br /> 1/29/2009 2228 GEN 25<50 TONS PERMIT <br /> $ 1,911.00 <br /> 1/29/2009 2232 HAZARDOUS WASTE CA FACILITY <br /> $ 765.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE <br /> $ 435.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 3,135.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 4,135.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 1 2009 <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 /> 52>4.rpt <br />