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SANJUAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTII IT Page 1 <br /> 1868 E HAZELTON AVENUE 1.i <br /> STOCKTON, CA 95205 <br /> Phone: (209)468-3420 <br /> AMENDED <br /> INVOICE Account ID AR0029823 <br /> Facility ID FA0016-9 41 <br /> Date Printed F 2/12/2015 <br /> MEENEEMENNEMEMUCH <br /> ENSHER ALEXANDER BARSOOM INC RE : ENSHER ALEXANDER BARSOOM INC <br /> PO BOX 27 0 UPPER JONES TRACT(CAMP 2 <br /> HOLT, CA 95234 HOLT, CA 95234 <br /> OWNER: ENSHER ALEXANDER BARSOOM INC <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0259909—Date of Invoice: 1/2912015 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIIIII IIIII IIII IIII <br /> 1/292015 1958 HM-Faun Operations $ 18.00 <br /> 129/2015 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 129/2015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 1/29/2015 APSA APSA SURCHARGE $ 26.00 <br /> 2/152015 9997 CORRECTION TOA CHARGE ($ 35.00) <br /> 2/152015 9997 CORRECTION TO A CHARGE ($ 213.00) <br /> 2/15/2015 9997 CORRECTION TO A CHARGE ($ 18.00) <br /> Total for mis Invoice $ 26.00 <br /> Payment Due Date 2128/2015 <br /> Invoice# IN0262327—Date of Invoice: 1/29/2015 I IIIIIIIIIIIIIIII IIIIIIIIII IIIII IIIII IIIIIIIIIIIIIIIIIIII 111111111111111111111111 IN <br /> 1/292015 1958 HM-Fane Operations $ 18.00 <br /> 1292015 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/292015 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> Total for this Invoice $ 107.00 <br /> Payment Due Date 212812015 <br /> TOTAL DUE this Billing Period $ 133.00 <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 HMBP 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 />