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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr-'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR ' <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017132 <br /> Facility ID FA0010132 <br /> Date Printed 1/30/2006 <br /> <br /> <br /> LODI, CA 95240-1020 <br /> OWNER : KENNETH GREGG <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142935---Date of Invoice: 1/27/2006 I IIIIIII IIIIII III VIII VIII IIIII IIIII IIIII IIIII IIIII 11111 <br /> VIII IIII IIIIII IIIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 479.00 <br /> PAYPJ°r NT <br /> RECEI IED <br /> MAP 1 2006 <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 IDES/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 />