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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 RECEIVED FEB <br /> Phone: (209) 468-3420 1 1004 <br /> INVOICE <br /> <br /> 09632 <br /> Date Printed 2/5/2004 <br /> O-G PACKING CO RE : O-G PACKING CO <br /> 2097 BEYER LN 2097 BEYER LN <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : O-G PACKING <br /> Health <br /> �`E Program Description _ Amount <br /> Invoice# IN0115745---Date of invoice: 2/4/2004 <br /> 2/4/2004 2214 CalARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 435.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 929.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 9.00 i <br /> F1ECEIE FCS <br /> FEB 2 7 Zuo <br /> SAN JOAQUIN COUNT''( <br /> ENVIRONMENTAL <br /> 9EALTH 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 I 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 /> 5255.rpt <br />