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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTRW Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> <br /> CE Account ID AR0018046 <br /> Facility ID FA0011046 <br /> Date Printed 2/28/2008—�i <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 /> orcgrarn Desrription Amount <br /> Invoice# IN0170627---Date of Invoice: 1/25/2008 I IIIIIII IIIIII III IIIII IIIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 111111111 IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 270.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 507.00 <br /> Payment Due Date 2/27/2008 <br /> -------- ---- <br /> / <br /> TOTAL DUE this Billing Period $ i'.' 507.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 1 1 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALT1i 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 /> 5254.rpt <br />