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03(1512013 09:02 9162949--735 WASTE MANAGEMENT PAGE 01101 <br /> Mar. 14, 2013 2:46PM,, tt T Joaquin County I (� � 1'�� 0�I No. 2561 P. 2 <br /> r SAN JOAQUIN COUNTY or N" kat II h isuCKA -T kit 0aJ, kA) -r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT J WIx <br /> 1868E HAZELTON AVENUE <br /> STOCKTON, CA 95206 <br /> r` _ INVOICE AwouMlo AROD08263 <br /> H w Ayyl,"y� �r C�0(lI( � Pa(.1�1;471e Fecgty 10 FA0006830 <br /> � AI- J oelePnnled znr2D13 <br /> 700 RE: CENTRAL VALLEY WASTE SERVICES <br /> Y1 (l I 1333 E TURNER RC1 <br /> LOD1 CA 95241 <br /> OWNER: USA WASTE SYS INC <br /> Healln <br /> C91e Program Desalpllan Amount <br /> Invoice* t!410216612—Dateof 1nV01ce: 211/2013 III�I�I�Il�lll j(�III�II 11111111111111 RIM IIIA I�IInIII���I�II <br /> 211/2013 1021 HMSP-Regular-Fdmsry Location $ 420.00 <br /> 2/1/2013 2229 GEN 00260 TONS PERMIT $ 2.149.00 <br /> 2!112013 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE 5 36.00 <br /> 7/1/2013 2632 AST FAC 10 K-4=100 K GAL CUMULATIVE E 675.00 <br /> Talai rot thla Immo* j 3,278.00 <br /> Payment Due Date 31912013 <br /> TOTAL DUE this Billjag Period $ 3,279.00 <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of Thie STATEMENT with Your PAYMENT <br /> Penalties will be added t0 all Permit F9as For DES I HUMP Pees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10-4 Panalf os wilf be addad at the Rate of 10% <br /> 30 Uaya after the Cue Date 45 Days after the Invoice Date so Days attar the Involve Data and each 30 nays thereafter <br />