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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARW <br /> T <br /> 304 E WEBER AVE -3RD FLOOR <br /> <br /> <br /> OICE AccountlD AR0018046 <br /> Facility ID FA0011046 <br /> Date Printed 1/24/2005 <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# IN0128433---Date of Invoice: 1/24/2005 11111 1111 111111 11111 IN IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 270.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Involce $ 494.00 <br /> Payment Due Date �, '---�005 <br /> TOTAL DUE this Billing Period $ 494.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 5 2005 <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 /> 5255.rpt <br />