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SAN JUAUUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTP ^"'T - Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017049 <br /> Facility ID FA0010049 <br /> Date Printed 1/30/2006 <br /> TRACY JOINT UNIN HIGH SCHOOL RE : TRACY JOINT UNION HIGH SCHOOL <br /> 1975 W LOWELL VE 315 E 11TH ST <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER : TRACY PUBLIC SCHOOL DIST <br /> Date Health <br /> Program , DescnptionL__ Amount <br /> Invoice# IN0143307---Date of Invoice: 1I/27/2006 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII IIIII IIIII IIII IIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZr�AT FEE $ 330.00 <br /> 1/27/2006 2399 UNIFIED P OGRAM FAC STATE SURCHARGE FEE $ <br /> Total forthis Invoice $ 554.00 j <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 554.00 <br /> 2006 <br /> SAN OAQU/,,-�oUnr <br /> H�LTN�pAp MENT <br /> Please make Checks PAY BLE 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 /> 5254.rpt <br />