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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMT 'T <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA <br /> <br /> AccountlD AR0018046 <br /> Facility ID FA0011046 <br /> Date Printed mm 2/5/2004 <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# IN0116145---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 255.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 479.00 <br /> PAYMENT. <br /> RECEIVED <br /> r EB 2004 <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 />