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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPRTI--"T Page 1 <br /> '304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0017782 <br /> Facility ID FA0010782 <br /> Date Printed 2/25/2005 <br /> NORMA STEVENS N RE : EMPIRE EQUIPMENT CO LP <br /> EMPIRE EQUIPM NT CO LP 8855 S EL DORADO ST <br /> 38600 CEDAR BLVD FRENCH CAMP, CA 95231-9750 <br /> NEWARK, CA 945 0 <br /> OWNER : EMPIRE EQUIPMENT CO LP <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0128372---Date of Invoice: /24/2005 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII VIII VIII VIII IIIII IIIII IIII IIIIII 11111 <br /> IIII IIII <br /> 1/24/2005 2220 SM HW G N<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZ AT FEE $ 375.00 <br /> 1/24/2005 2399 UNIFIED ROGRAM FAC STATE SERVICE FEE $ 4DD <br /> Total for this Invoice 599.00 <br /> Payment Due Date 3/2005 <br /> P� TOTAL DUE this Billing Period $ 599.00 <br /> Tick"" <br /> PAYMENT <br /> RECEIVE® <br /> FEB 2 8 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks P YABLE 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 /> 52».rpt <br />