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ENVIRONMENTAL HEALTH DEPARTMENT rdyc l <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017162 <br /> 4 g� Facility ID FA0010162 <br /> Date Panted 5/27/2009 <br /> Inewommmmoommms <br /> OFF ROAD ENTERPRISES RE : OFF ROAD ENTERPRISES <br /> 2953 CHERRYLAND AVE#B 2953 CHERRYLAND AVE B <br /> STOCKTON, CA 95215-2233 STOCKTON, CA 95215 <br /> OWNER : BAKER, KENYON & MARTIN,WADE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184336---Date of Invoice: 1/29/2009 11111111111111HE11111111111111111111111111111111111111[111111p111p11IN <br /> 1/29/2009 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 285.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> 4/15/2009 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 763.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 763.50 <br /> Delinquent &,arcjes <br /> will be fo R"artded to <br /> C;i''\+SJ- �. <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 f 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 />