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SAN JUAVUIN GUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMEI Page 1 <br /> 304 E WEBER AVE -3RD FLOOR A - <br /> STOCKTON, CA 95202 C/�p COPY <br /> Phone: (209)468-3420 "`bbb <br /> INVOICE Account ID AR0007277 <br /> Facility ID FA0006185 —111 <br /> Date Printed 1/26/2007 <br /> r� <br /> BALAJI ANGLE RE : MIRAMAR ENTERPRISES <br /> MIRAMAR ENTERPRISES 1605 S EL DORADO ST <br /> 1605 S EL DORADO ST STOCKTON, CA 95206 <br /> STOCKTON, CA 95206 <br /> OWNER : ANGLE, BALAJI S <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN0157276---Date of Invoice: 125/2007 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII IIIII IIIII IIIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEJ<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZM T FEE $ 270.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATESURCHARGE FEE $ 15.00 <br /> 1/25/2007 2360 ADDITIONA UST $ 125.00 <br /> 1/25/2007 2362 UST FACILI Y& 1 TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED P OGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,155.00 <br /> Payment Due Date0 7 <br /> PAYM vED TOTAL DUE this Billing Period 1,155.0\ <br /> RE <br /> FEB 2 7 2oor <br /> SAN Jop'OUtMEr1TN- <br /> HETN OEIPPATmegr <br /> PAYMENT <br /> REC;ENED <br /> FEB 2 7 NOT <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <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 /> 5254.rpt <br />