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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0005743 <br /> Facility ID FA0005282 <br /> Date Printed 1 4/5/2004 <br /> HEINZ USA-STOCKTON FACTORY RE : HEINZ USA-STOCKTON FACTORY <br /> PO BOX 57 2800 S CALIFORNIA ST <br /> STOCKTON, CA 95201-3057 STOCKTON, CA 95206 <br /> OWNER : HEINZ USA-STOCKTON FACTORY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115452---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2233 HAZARDOUS WASTE CESQT FACILITY $ 112.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 675.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2004 9997 CORRECTION TO A CHARGE ($ 200.00) <br /> 3/15/2004 9997 CORRECTION TO A CHARGE ($ 112.00) <br /> 3/23/2004 9999 PAYMENT ($ 1,011.00) <br /> 3/24/2004 2227 GEN 5<25 TONS PERMIT $ 1,568.00 <br /> Total for this Invoice $ 1,256.00 <br /> Payment Due Date 3f612U04 <br /> TOTAL DUE this Billing Period $ % 1,256.00 <br /> J' <br /> PAYMENT <br /> RECEIVED <br /> APR 5 2004 <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 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.rpt <br />