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SAN JOAQUIN COUNTY Page 1 <br /> ENYWDWENTAL 304 E WEBER AVEHEALTH T <br /> 3RDFLOOR � �a <br /> STOCKTON, CA 95202 • <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0001956 <br /> Facility ID FA0001948 <br /> \ Date Printed F 2/28/2007 <br /> ROY LUCCHESI RE : WHISKEY SLOUGH HARBOR <br /> WHISKEY SLOUGH HAR 3401 S WHISKEY SLOUGH RD <br /> 1479 FAIRVIEW AVE HOLT, CA 95234 <br /> BRENTWOOD, CA 94513 <br /> OWNER : LUCCHESI, ROY <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0157766—Date of Invoice: 1/2512007 I1111111111111III IIIII IIIIIIIIII IIIII IIIII IIIII IIIII IIIII IIIII 1111111111111 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 124.00 <br /> Payment Due Date 2125/2007 <br /> TOTAL DUE this Billing Period $ 124.00 <br /> SEC ND NOTICE <br /> RECEIVED <br /> MAR 1 S 2007 <br /> 5AN JUAQUIN COUNTY <br /> OFF E OF EMERGENCY SERVICES <br /> 317�a7 <br /> Please make Checks AYA E to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/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 />