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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTh T Page 1 <br /> 600 E MAIN STREET <br /> STOC <br /> <br /> INVOICE Account ID AR0000355 <br /> Facility ID FA0000356 <br /> Date Printed 1/29/2009 <br /> DAVID T PRICE INd RE : DAVID T PRICE INC <br /> 21657 E DODDS RD 21657 E DODDS RD <br /> ESCALON, CA 95320 ESCALON, CA 95320 <br /> OWNER : PRICE, DAVID T <br /> Date Health <br /> Program Descriptior Amount <br /> Invoice# IN0184342---Date of Invoice: /29/2009 I IIIIIII IIIIII III VIII VIII VIII IIID VIII VIII VIII VIII VIII IIII IIIIII 11111 1111 IIII <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2223 AGRICULTURAL HAZ MAT STORAGE FACILITY $ 18.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 405.00 <br /> 1/29/2009 2399 UNIFIED P ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 660.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 660:0 <br /> PAYMENT <br /> r'arECEIVED <br /> FEB 9 2009 <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <br /> MEALTH 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 />