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SAN JOAQUIN COUNTY Page 1 <br /> .ENVIRONMENTAL HEALTH DEPART . <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0017925 <br /> Facility ID FA0010925 <br /> Date Printed 1/24/2005 <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 Amount <br /> Invoice# IN0128398—Date of Invoice : 1/24/2005 IIIIIIIIIIIIII IIIIIIIIIIIII VIII VIII VIII VIIIIIIIIIIIII VIII IIIIIIIVI IIIIIIIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE S 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total forthm Invoice $ 524.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> ACCOUNTO. AMOUNT <br /> C1 21.Z L(0 _._ <br /> APP OV -D/AT <br /> LIVIED <br /> sQ �/3 o FEB - 7 235 <br /> VERIFIE <br /> PAYMENT <br /> RECEIVED <br /> ADO FEB 2 2 2005 <br /> v <br /> SAN <br /> A ENVIIRONMENOTM <br /> TAL <br /> V <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 DES 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 /> 52j5 rpt <br />