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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF-'T Page 1 <br /> 304 E WEBER AVE -3RD FLOORSTOCK <br /> Phone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017188 <br /> Facility ID FFA0010188 <br /> Date Printed F 1/30/2006 <br /> LUMMENNNEOMMOMM <br /> <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : MARK ANTONINI, J ANTONINI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142959---Date of Invoice : 1/27/2006 III I I III II VIII VI VIII ILII VII VI IVII V II I IIIIIIIIIIIIIIIIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 375.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forth is Invoice $ 599.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 599.00 <br /> FEB 2 i 2006 FEB 21 2006 <br /> LD <br /> SAN JOAQUIr,COUNTY ENV/RO/y <br /> ENVIRONMENTAL PERM/T'RVIEES rN <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/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 /> 5254mt <br />