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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR • • <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARo016200 <br /> Facility ID F FA0009200 <br /> Date Printed F 1/12/2004 <br /> INLAND FLYING SVC RE : INLAND FLYING SVC <br /> <br /> STOCKTON, CA 95206 <br /> OWNER : WALTER T CHEERS <br /> Date Health <br /> Program Description Amount <br /> Invoice# ING112356---Date of Invoice : 10/27/2003 <br /> 10/27/2003 2245 ADDITION OF 1 CHEMICAL TO INVENTORY $ 15.00 <br /> 12/15/2003 9987 Haz Mat Program Penalty Fee $ 1.50 <br /> Total for this Invoice $ 16.50 <br /> Payment Due Date 11/26/2003 <br /> TOTAL DUE this Billing Period $ 16.50 <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 /> 5'_55.rpt <br />