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SAN JOAQUIN COUNTY 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209)468-3420 <br />INVOICE <br />CATCHOT,SCOTT <br />U STRIP IT INC <br />3175 S HWY 99 W FROMTAGE RD <br />STOCKTON, CA 95215 <br />• <br />Page 1 <br />Account ID AR0017087 <br />Facility ID FA0010087 <br />Date Printed F 1/30/2012 <br />RE: U STRIP IT INC <br />3175 S HWY 99 W FRONTAGE RD <br />STOCKTON, CA 95215 <br />OWNER: CATCHOT, SCOTT <br />Date Health <br />Proqram Description Amount <br />Invoice # IN0223482 --- Date of Invoice : 1130/2012 <br />1/27/2012 <br />2220 <br />SM HW GEN <5 TONS/YR <br />1/27/2012 <br />2244 <br />2012 HAZMAT FEE PLUS 1 YEAR BACK BILLING <br />1/27/2012 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1/27/2012 <br />ERSC <br />ELECTRONIC REPORTING STATE SURCHARGE FEE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII II II <br />$ <br />IIIIII VIII IIII II II <br />213.00 <br />$ <br />570.00 <br />$ <br />24.00 <br />$ <br />25.00 <br />Total for this Invoice $ 832.00 <br />Payment Due Date 212 912 01 2 <br />TOTAL DUE this Billing Period $ 832.00 <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 DES 1 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 thereafte <br />5254rpt <br />