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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTM'-'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID I AR0017782 <br /> Facility ID FAO Ll�10782A <br /> Date Printed 3/15/2004 <br /> NORMA STEVENSPN RE : EMPIRE EQUIPMENT CO LP <br /> EMPIRE EQUIPMENT CO LP 8855 S EL DORADO ST <br /> 38600 CEDAR BILVD FRENCH CAMP, CA 95231-9750 <br /> NEWARK, CA 94560 <br /> OWNER : EMPIRE EQUIPMENT CO LP <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0116082---Date of Invoice : /4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZ AT FEE $ 375.00 <br /> 2/4/2004 2399 UNIFIED F ROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 599.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ ;' 599.00 <br /> PAYMENT <br /> SAN JOA,UUIN COUNT Y <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 />