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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIV--'T Page 1 <br /> 600 E MAIN STREET - C <br /> <br /> 68-3420 <br /> INVOICE <br /> Account ID I AR0016632 <br /> Facility ID FA0009632 <br /> Date Printed 1/29/2009IF <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 /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184181 ---Date of Invoice: 1/29/2009 111111 111 11111 d it IIIII IIIII 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 1/29/2009 2214 CaIARP FAC STATE SURCHARGE FEE $ 270.00 <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 450.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 957.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 957.0 <br /> PAYMENT <br /> RECEIVED <br /> FEES 1 2 2009 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> 1 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 /> i2�4.rpt <br />