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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTr IT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0005274 <br /> LNENNEMMEMOMMA <br /> Facility ID FA 0004837 <br /> Date Printed 5/25/2005 <br /> �f o� to as <br /> MR B'S ENTERPRISES INC RE : MIRE'S ENTERPRISES INC <br /> PO BOX 31600 3132 FARMINGTON RD <br /> STOCKTON, CA 95213-1600 STOCKTON, CA 95205 <br /> OWNER : RICHARD O BYWATER <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0128200—Date of Invoice: 1/24/2005 1MIT 111111p111111111111111111p111111111111111111111111111111111111p1111p11111 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> 4/15/2005 9994 PERMIT FEE PENALTY $ 200.00 <br /> To for this Invoice $ 704.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 704.50 <br /> PAST DU E <br /> Delinquent charges <br /> will be foRvarded to <br /> COfla.A ECTIOM <br /> in 30 days. <br /> ATTENTION <br /> YOUR HEALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> RMT DUE AMOUNTS <br /> 9�`Ht ty:41D 1N rOILL <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 DES I 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 /> 5255.rpt <br />