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JAN JUAWLIIN I:UUN 1 Y <br /> ENVIRONMENTAL HEALTH DEPARTMof Page 1 <br /> 304 E WEBER AVE -3RD FLOOR n <br /> PTO e: ON,(209 46 952021u11- ' 1 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE2 2001 ISE AccountlD AR0016284 <br /> Facility ID F FA0009284 <br /> Date Printed F 1/26/2007 <br /> ABELL CORP RE : POLY PROCESSING CO <br /> PO BOX 4150 8055 S ASH ST <br /> MONROE, LA 71211-4150 FRENCH CAMP, CA 95231 <br /> OWNER : ABELL CORP <br /> Date Health <br /> P.cgram Description Amount <br /> Invoice# IN0156503---Date of Invoice: 1125/2007 IIIIIIIIIIIIIIIIIIIIIIIIIIIIII VIII VIIIIIIIIIIIIIIIII VIII IIII IIIIIIIIIIIIIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONSNR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 390.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 620.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period I $ !620.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 0 2007 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> TOIAL § <br /> -Approval indicates Invoice checked for <br /> accuracy(m mluda axtenslons,footings,end <br /> tax requirements). <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 /> 5254.rpt <br />