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"SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTME 304 E WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209) 468-3420 ngto . INVOICE Health rrugram Casa p5cn / Page 1 V Account ID I AR0003337 70 Facility ID FA0003758 fy V4"e GEN 5<25 TONS PERMIT Date Printed2/27/2003 1,568.00 2/27/2003 9 RE: RYDER TRUCK'` $ 3633 DUCK CREEK DR 2/27/2003 STOCKTON, CA 95215 UST STATE SURCHARGE OWNER: RYDER TRUCK Amount Invoice # IN0103525 --- Date of Invoice : 2/27/2003 2/27/2003 2227 GEN 5<25 TONS PERMIT $ 1,568.00 2/27/2003 2244 2003 HMMP Annual Fee $ 390.00 2/27/2003 2301 UST STATE SURCHARGE $ 10.00 2/27/2003 2301 UST STATE SURCHARGE $ 10.00 2/27/2003 2301 UST STATE SURCHARGE $ 10.00 2/27/2003 2301 UST STATE SURCHARGE $ 10.00 2/27/2003 2360 ADDITIONAL UST $ 125.00 2/27/2003 2360 ADDITIONAL UST $ 125.00 2/27/2003 2360 ADDITIONAL UST $ 125.00 2/27/2003 2362 UST FACILITY & 1 TANK $ 500.00 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 Total for this Invoice $ 2,890.50 PWy!Vii=1,.j Payment Due Date 3/29/2003 RECEIVEL: TOTAL DUE this Billing Period $ 2,890.50 APR 7 2003 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIPO�1N,WNTAL HEALTH nVISION Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For all SERVICE FEES at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter 5255.rpt