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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DE ARTM"IT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0020269 <br /> Facility ID FA0012412 <br /> Date Printed F-1 F28/2008 <br /> DIVERSIFIED CONSTRUCTION SERVICES RE : DIVERSIFIED CONSTRUCTION SERVICES <br /> 5565 S EL DORA60 ST 5565 S EL DORADO ST <br /> FRENCH CAMP, CA 95231 FRENCH CAMP, CA 95231 <br /> OWNER : DIVERSIFIED CONSTRUCTION SERV <br /> Date Health <br /> Program Descripti n Amount <br /> Invoice# IN0170656---Date of Invoice: 1/25/2008 I IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW EN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 H MAT FEE $ 315.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 552.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period E$ E 552.0 <br /> RPECEIvEp <br /> F�3 2 b �M <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 /> >'_�4 rpt <br />