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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP- 'TPage 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209 <br /> <br /> Facility ID FA0002683 <br /> Date Printed 1/28/200888 <br /> LADD'S STOCKTON MARINA INC RE : LADD'S STOCKTON MARINA <br /> 4911 W BUCKLEY COVE WAY 4911 BUCKLEY COVE WAY <br /> STOCKTON, CA 95219 STOCKTON, CA 95219 <br /> OWNER : BONNIFIELD, PATRICIA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170279---Date of Invoice: 1/25/2008 1111111 hill E 11111 11111�IE 11111 11111 11111 11111 11111 11111 1111 111111 11111 IN IN <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 375.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 612.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 612.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 9 2008 <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 />