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ENVIRONMENTAL HEALTH DEPARTMF"lT Page 1 <br /> -600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE 3 3 a Account ID AR0016362 <br /> Facility ID IF FA 0909362 <br /> Date Printed F 4/28/2010 -11 <br /> JF DONALDSON & SONS INC RE : JF DONALDSON & SONS INC <br /> 240 N HUNTER ST 240 N HUNTER ST <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 <br /> OWNER : J F DONALDSON & SONS INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0197752---Date of Invoice: 2/2/2010 I II I II I I V I VI I VIII VI III V I VII I II VIII I I/III 1111111111111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 100.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for Isis Invoice $ 585.00 <br /> Payment Due Date 3/412010 <br /> TOTAL DUE this Billing Period $ 585.00 <br /> FA7- J <br /> Delinquent charges <br /> p <br /> willbeforwarded f0 <br /> m in 30 days. <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 /> 5254.rpt <br />