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SAN JOAQUIN COUNTY <br /> ENYIRON'MENTAL HEALTH DEPART Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 40 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR 0017-9 2-5 <br /> LMMMEMOMMMMOMMI <br /> Facility ID FA001 992 <br /> Date Printed 2/27/2006 <br /> VIACOM OUTDOOR RE : VIACOM OUTDOOR <br /> 2050 W FREMONT ST 2050 W FREMONT ST <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : OUTDOOR SYSTEMS ADVERTISING IN <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143119--Date of Invoice: 1/27/2006 I IIIIIIIIIIIII IIIIIIIIII VIII VIII IIIIIIIIII IIIIIIIIIIIIII IIIIIIIIII 11111 11111111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoicel $ 524.00 <br /> Payment Due Date 3/1/2006_ <br /> TOTAL DUE this Billing Period $$Sy4,00� <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2006 <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 I 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 />