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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN-VT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE A=unt ID AR0025645 <br /> LMMOOMMMOMMIll <br /> Facility ID F FA00150 9— <br /> Date Pnnted 2/9/2005 <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# IN0130129--Date of Invoice: 1/2412005 I IIIII'lll'll VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII 111111 1111111111111 <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 315.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total forthis Invoicel $ 539.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 539.00 <br /> V%S <br /> F�0 G <br /> SOP Dec!` P'(M <br /> Sol NO�pP <br /> N <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 /> 5255 rpt <br />