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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEF <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> D AR0016498 <br /> Facility ID FA0009498 <br /> Date Printed 2/5/2004 <br /> SUSD STAGG HIGSC <br /> HOOL RE : SUSD STA <br /> GG HIGH SCHOOL <br /> 55 S MADISON ST 1621 BROOKSIDE RD <br /> STOCKTON, CA 95203 STOCKTON, CA 95207 <br /> OWNER : STOCKTON UNIFIED SCHOOL DIST <br /> Health Amount <br /> grogram ----- <br /> Invoice# IN0115690--Date of Invoice : 14/2004 S 200.00 <br /> 2/4/2004 2220 SM HW G N<5 TONS/YR S 330.00 <br /> 2/4/2004 2244 2004 HAZ AT FEE S 24.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> Total for this Invoice S 554.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period S 554.00 <br /> PA; HENT <br /> RECEIVED <br /> MA, 1 -r. 2004 <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fe Penalties will be added at the Rate of 10% 60 Days after the Invoice Date and each t Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5255.rpt <br />