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5AN JUAUUIN CUUNTY i <br /> ENVIRONMENTAL HEALTH DEPARTMf"T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA <br /> <br /> INVOICE AccountlD AR0000355 <br /> Facility ID r FA0000356 <br /> Date Printed 1/30/2006 <br /> DAVID T PRICE INCRE : DAVID T PRICE INC <br /> 21657 E DODDS R 21657 E DODDS RD <br /> ESCALON, CA 953120 ESCALON, CA 95320 <br /> OWNER : PRICE, DAVID T <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN0142957---Date of Invoice: 1127/2006 11111111111111 III VIII VIII VIII IIIII IIIII VIII VIII VIII VIII IIII 111111 VIII 1111IN <br /> 1/27/2006 2220 SM HW G N<5 TONS/YR $ 200.00 <br /> 1/27/2006 2223 AGRICULT RAL HAZ MAT STORAGE FACILITY $ 18.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 405.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 647.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 647.¢0' <br /> C <br /> vEL <br /> ED <br /> FEB 0 9 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAY BLE 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 />