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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTFr 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 952 <br /> <br /> Account ID AR0010443 1111 <br /> Facility ID I FA0007174 <br /> Date Printed 1 2/27/2003 <br /> SAN-I-PAK PACIFIC INC RE : SAN-I-PAK INC <br /> P.O. BOX 1183 23535 S BIRD RD <br /> TRACY, CA 95378-1183 TRACY, CA 95376 <br /> OWNER : SAN-I-PAK INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103708---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 345.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 562.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 5f2,5 <br /> PAYMENT <br /> RECEIVED <br /> MR 1 2, 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.ipt <br />