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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEO • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE l)loI RECEIVED Account ID AR0026840 <br /> I APR 2 0 2007 Facility ID IFTA0015549 <br /> OFFICE OF EMERGENCY SERVftPrinted 3/27/2007 <br /> IMMOMMEMMOMMMA <br /> APRIA HEALTHCARE RE : APRIA HEALTHCARE <br /> 7514 MURRAY DR 7514 MURRAY DR <br /> STOCKTON, CA 95210 STOCKTON, CA 95210 <br /> OWNER : APRIA HEALTHCARE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 68373--Date of Invoice: 1/25/2007 I1111111111111IIIIIIIIIIIIIIIIIIIIIIIIIIAIIIIIIIIIIIIIIIVIIIIIIIIIIIII111111111111 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 255.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 304.50 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 304.50 <br /> A E30 D� ISI <br /> Wi-- V=LLI AT41F -,,;!ATE YOUR <br /> PAY&M—N-I TOrO,''tY! <br /> PAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> 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/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 />