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SAN JOAQUIN COUNTY • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARANT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> INVOICE Account ID AR0016840 <br /> Faallty,ID FA0009840 <br /> Date Printed 4/30/2012 <br /> <br /> <br /> STOCKTON,CA 95204 <br /> OWNER : TRAN, QUYEN <br /> Health <br /> Dale Program Description Amount <br /> n <br /> Invoice# IN0224170--Date of Invoice: 1130/2012 I�IIIIIIIIIIIINIININIIIIIINIIIIIIIIII1IIIIIIIIINIIIIIIN11111II1IVIIId <br /> 1/2712012 2244 2012 HAZMAT FEE i $ 255.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 -Haz Mat Program Penalty Fee " 8 25.50 <br /> Total rorihls Invoice f 329.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period b 329.50 <br /> 60 „ p0� <br /> Please make Checks PAYABLE to: 'EHD' I — 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 110V1.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 Data 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.tpt <br />