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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTMEP'— , . Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020269 <br /> Facility ID FA0012412 <br /> Date Printed 1/26/2007�i <br /> DIVERSIFIED CON TRUCTION SERVICES RE : DIVERSIFIED CONSTRUCTION SERVICES <br /> 5565 S EL DORA ST 5565 S EL DORADO ST <br /> FRENCH CAMP, C 95231 FRENCH CAMP, CA 95231 <br /> OWNER : DIVERSIFIED CONSTRUCTION SERV <br /> Date Health <br /> Program Descriptio _ Amount <br /> Invoice# IN0157024---Date of Invoice: 1/25/2007 I IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZty AT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED P ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 545.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 545.00 <br /> RECEI /ED <br /> FEB 2 3 2067 <br /> SAN JOAQi11N COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PA ABLE 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?-4.rpt <br />