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SAN JOAQUIN COUNTY <br /> ENVIRONMENT-AL HEALTH DEPARTM' Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> Account lD AR0016878 <br /> Facility ID FA0009878 <br /> Date Printed 5/11/2004 <br /> AG INDUSTRIAL MFG INC RE : AG INDUSTRIAL MFG INC <br /> PO BOX 53 110 S BECKMAN RD <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : VINTAGE INVESTMENTS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0119737---Date of Invoice : 5/11/2004 <br /> 5/11/2004 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> Total for this Invoice $ 50.00 <br /> Payment Due Date 6/10/2004 <br /> TOTAL DUE this Billing Period $ 50.00 <br /> i <br /> A <br /> sgti J <br /> OFA 9�'�TOG'Y�} <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.r-pt <br />