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Dftry JUAUUIN UUUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM' 'T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phtaie: (209)468-3420 <br /> INVOICE Account ID AR0025645 <br /> Facility ID FA0015009 <br /> Date Printed 1/26/2007 <br /> PACIFIC COAST MS INDUSTRIES RE : PACIFIC COAST MS INDUSTRIES <br /> 4101 N HOLLY DR 3940 COMMERCIAL ST <br /> TRACY, CA 95304 TRACY, CA 95376 <br /> OWNER : PACIFIC COAST MS INDUSTRIES IN <br /> Date Health <br /> Pronram Description Amount <br /> Invoice# IN01 58290--Date of Invoice: 1/25/2007 111111111Hill p111111111p1111111111p1pp111Fill p1111p11p11111111p1 <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 545.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 545.00 <br /> PAYMENT <br /> REGMNED <br /> FEB 2 7 2001 <br /> SAN JOAOUIN COUNTY <br /> ENVIRONMENTAL <br /> 14EALTH 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 /> 5254.rpt <br />