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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMF-'T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />INTERNATIONAL PAPER <br />3550 BOZZANO RD <br />STOCKTON, CA 95215 <br />Date Health <br />Program Description <br />Invoice # IN0142857 --- Date of Invoice : 1/27/2006 <br />Page 1 <br />Account ID AR0016879 <br />Facility ID FA0009879 <br />Date Printed 3/7/2006 <br />RE : INTERNATIONAL PAPER <br />3550 BOZZANO RD <br />STOCKTON, CA 95215 <br />OWNER : INTERNATIONAL PAPER <br />1/27/2006 2220 SM HW GEN <5 TONS/YR $ <br />1/27/2006 2244 2006 HAZMAT FEE $ <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ <br />Total for this Invoice $ <br />Please make Checks PAYABLE to: 'EHD' <br />Payment Due Date <br />TOTAL DUE this Billing Period <br />Amount <br />200.00 <br />390.00 <br />24.00 <br />614.00 <br />3/1/2006 <br />$ ! 614.00 <br />MAS? �� � ; �,: , <br />Sq NV1�6?UIr�/ Oct r '-., <br />ROlyiU pfd 1;'. t <br />HEJiL7y D>=p�RTt, c, f t <br />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 />j254.rot <br />