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ENVIRONMENTAL HEALTH DEPARTM'- T Page 1 <br /> 60€1.E MAIN STREET � <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0035056 <br /> RECEIVE® <br /> Facility ID FA0019694 <br /> JUL 3 0 2009 <br /> Date Printed 7/28/2009 <br /> SAN JOAQi1IN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> ROCKITE CO RE : ROCKITE CO' ' <br /> 1550 SHAW RD#D 1550 SHAW RD#D <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER . NEIL DAVIS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0189777---Date of Invoice. 5126/2009 IIIIIIIIIIIIIIIIiIIID IIIIIlIIIIIIIIIIIIIIIIIIIVIIIl1111IIIIIIIIlfIIIII11111HIIIN <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 510.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 51.00 <br /> Total forthis Invofce $ 585.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 585.00 <br /> PAST DA tt .H <br /> Delinquent cha?ges <br /> will be f®rwarde"0 to <br /> cOLLECTRON. <br /> in 30 day <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 wilIibe 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 rnt <br />