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SAN JOAQUIN COUNTY <br /> E NVIRO"NMENTAL HEALTH DEPART*T Page 1 <br /> .600 E MAIN STREET <br /> STOCKTON, CA 95202 } <br /> Phone: (209)46$-3420 L <br /> 114VOICE � � RECEIVED Account ID R0005451 <br /> A <br /> APS 2 6 .20 Facility ID FA0005008 <br /> QW4 JUMAUIN UUUM TY <br /> OFF(GE OF EVIE UNGY SO= Date Printed 3/26/2008 <br /> PCI-PAINTING RE : PCI-PAINTING <br /> 620 SAN JUAN AVE 620 N SAN JUAN <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : PCI-PAINTING <br /> Date Health <br /> Program Description (( Amount <br /> Invoice# IN0173254--Date of Invoice: 1/251200$ II�Il�II II��lII��IIII��IIII I IIIIIIIII�II�IIiI�II�IIII��Jlllllll����1111111111111 <br /> 1!2512008 2244 2008 HAZMAT FEE $ 255.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 304.50 <br /> Payment Due Date 2/2712008 <br /> TOTAL DUE this Billing Period $ 304.50 <br /> D U E <br /> Delinquent charges <br /> `fitii L)e forwarded tc <br /> P- Ti 0, <br /> if" 30 days, l <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 OES 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 thereafter <br /> 5254.rpt <br />