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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM' T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD I AR0003412 <br /> Facility ID FA0003824 <br /> Date Printed 3/27/2003 <br /> UNIVERSAL FOREST PRODUCTS WEST RE : UNIVERSAL FOREST PROD INC <br /> 2801 E BELTLINE 4554 S EL DORADO ST <br /> GRAND RAPIDS, MI 49525 STOCKTON, CA 95206 <br /> OWNER : UNIVERSAL COMPANY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104635---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 330.00 <br /> 2/27/2003 2301 UST STATE SURCHARGE $ 10.00 <br /> 2/27/2003 2362 UST FACILITY& 1 TANK $ 500.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 857.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 857.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 7 2003 <br /> SAN JDAOUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIROW41ENTAL HEALTH DIVISION <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 />