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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP'—NT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0024346 <br /> Facility ID �� FA014325 <br /> Date Printed 1/28/2008 <br /> <br /> <br /> LODI, CA 95240 <br /> OWNER : PORGES, NORM <br /> Date Health <br /> Proaram Description Amount <br /> Invoice# IN0170962---Date of Invoice : 1/25/2008 �111M 011 H 111E 11E�1111 11111 11111 11111 11111 11$11111 111 111�IHS 11111 <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR S 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 315.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for this Invoice $ 552.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 552.0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 0 2068 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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/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 />