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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPAR-i JT - <br /> 304 E WEBER AVE -3RD FLOOR <br /> <br /> <br /> E Account ID AR0018046 <br /> Facility ID FA0011046 <br /> Date Printed 1/26/2007 <br /> HOUSING AUTHORITY CO OF SJ RE : HOUSING AUTHORITY CO OF SJ <br /> PO BOX 447 2424 S BELLEVIEW ST <br /> STOCKTON, CA 95201-0447 STOCKTON, CA 95206 <br /> OWNER : HOUSING AUTHORITY OF SAN JOAQU <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156995--Date of Invoice: 112512007 11111 X1111 IN 111111111111111 IN <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 270.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 500.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 500.00 <br /> =J'f Dole z �YMFN-� <br /> DECEIVED <br /> 00J Uode - - �u SEB 2 ® X007 <br /> SAN JOAQUIN COUNN <br /> �tvH pEPARTMENT <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 />