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600 E MAIN STREET .... <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE C��CEFIWD Account ID AR0016443 <br /> APR 28 2011 <br /> Facility ID FA0009443 <br /> o` NJ0AQUINCCUN Loummmmommmmmi <br /> OFFICE OF EMERGENCY SERVICES <br /> Date Printed 2/15/2011 <br /> AMTEX INC RE : AMTEX INC <br /> 1500 KINGSVIEW DR 550 CARNEGIE ST <br /> LEBANON, OH 45036 MANTECA, CA 95337 <br /> OWNER : LEAR/HAYASHI TELEMPU <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0210810---Date of Invoice: 1/31/2011 ( IIII IIII VIII VIII VIIIVIIIIIVIIVIIIVIIIVIIIIIIIIIIII VIIIIIII <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR 5 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE 5 345.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for this Invoice $ 607.00 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 607.00 <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 /> yt rpi <br />