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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMS$ Page 1 <br /> NM <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468- <br /> AccountlD AR0003258 <br /> Facility ID FA0003680 <br /> Date Printed 2/10/2006 <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, ROBERT A JR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142500---Date of Invoice: 1/27/2006 1111 111111 11111 1111 IN <br /> 1/27/2006 2220 SM HW GEN <5TONS/YR $ 200.00 <br /> 1/27/2006 2232 HAZARDOUS WASTE CA FACILITY $ 717.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 435.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,376.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing ZiPdi $ 376. <br /> /6§ <br /> dz <br /> FNV/ ON ZOp6 <br /> PFRM�T S R�NEA[Ty <br /> SES <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 15 Days after the Invoice Date 60 Days a' the Invoice Date and each 30 Days thereafter <br /> i7_i4.rpt <br />