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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0025645 <br /> Facility ID FA00-15-0 ON <br /> Date Printed F 1/30/2006 <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 /> Program Description Amount <br /> Invoice# IN0144493--Date of Invoice: 1/2712006 IIIIIIIIIIII IIVIII VIIIVIIVIII VIII VIIIVIII VIII VIIIIIIIIIIII VIII/III/III <br /> 1/27/2006 2220 SM HIN GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 539.00 <br /> Payment Due Date 31112006 <br /> TOTAL DUE this Billing Period $ 539.00, <br /> RECEIV D <br /> FEB 1 0 2006 <br /> SAN NVIRO JOAQUI N COUNTY <br /> HEALTH DEPAER7 A <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 OES 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 />