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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART*T • Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 g <br /> Phone: (209468-3420INVOICE D � � © RECEIVElO°ntlD AR0005589 <br /> • <br /> APR 2 .3 M FaciiityID F FA 0505142 — <br /> OFFICE DF EMERGENCY SBIted <br /> 3/26/2008 <br /> ESCALON CITY OF PUBLIC WORKS RE : CITY OF ESCALON <br /> <br /> ESCALON, CA 95320 <br /> OWNER : ESCALON, CITY OF <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171218—Date of Invoice: 1/25/2008 IIIIIIIIIIIIIII IIIIVII IIIIIIIIII IIIIIIIIIIIIIII IIIIIIIIII IIIIIIIIII IIIIIIIII Till <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 300.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> Total for this Invoice $ 354.00 <br /> Payment Due Date 2/2712008 <br /> TOTAL DUE this Billing Period $ 354.00 <br /> I <br /> DeN ti!" 1 ont Chk'1.rgeS <br /> i,v;jj ",c icrwardfidfc <br /> If I' 30 dOtfr.4. 1 i <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/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.rot <br />