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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM Page 1 <br /> 3D4 E WEBER AVE -3RD FLOOR <br /> STOCKPhone: O (�7 <br /> INVOICE Accu ,i r ARD017909 <br /> Facllit/ID FA0010909 <br /> Date Printed 1!2612007 <br /> CRAIG VEVODA RE : HUMBOLT CREAMERY ASSN <br /> HUMBOLT CREAMERY ASSN 1270 SHAW RD <br /> 572 HWY 1 STOCKTON,CA 95215 <br /> FORTUNA, CA 95540 <br /> OWNER : HUMBOLT CREAMERY INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Involc # IN0157624—Dateoflnvoice: 1/2512007 I�III�II�ll lgf�l'Inp�pllnlll��ll'I INTI�II�'Inl64II4A lul�Il <br /> 1/252007 2221 USED OIL ONLY-<5 TONS/YR NI WIIII II �I u $Ju52.00 <br /> 125/2007 2244 2007 HAZMAT FEE $ 270.00 <br /> 112512007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for this involce $ 346.00 <br /> Payment Due Date 2125/2007 <br /> TOTAL DUE this Billing Period $ 346,00 <br /> BV. <br /> Please make Checks PAYABLE to: 'END' — Return a Copy of This STATEMENTwith Your PAYMENT <br /> Penalties will be added to all Permit Fees For 0 E 1 HMIIIP Fees For all SERVICE FEES <br /> at the Rate of 1000/6 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 Dale 60 Days after the Invoice Date and each 30 Days thereatte <br /> 5254.rp[ <br /> 9'd 6£l6L£660Z S32:2 O-L 0l8Vd d9l £0 60 9Z deS <br />