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n .�Vnw(VIIV li UrVI T <br /> ENVIRONMENTAL HEALTH DEPARTMf-^1T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0000195 <br /> Facility ID F FA000019 <br /> LMMMMMMUMMEMN <br /> Date Printed 7/20/2007 <br /> Isommommmmummmms <br /> LODI UNIFIED SCHOOL DIST RE : LODI USD-TOKAY HIGH SCHOOL <br /> 1305 E VINE ST 1111 CENTURY BLVD <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LODI UNIFIED SCHOOL DIST <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0157425--Date of Invoice: 1/25/2007 11111111111 111 IIIE1111111111�IE111111111111111I1111111111111111111111111111IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 300.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> 4/15/2007 9994 PERMIT FEE PENALTY $ 206.00 <br /> Total for this Invoice $ 766.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 766.00 <br /> PAYMENT <br /> RE�`•FI�/F_D <br /> JUL 2 0 20t, <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 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 /> 9211 qn <br />