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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTr*T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account 10 AR0017553 <br /> Facility ID FA00 0-553 <br /> LOWNROMMOMMMON <br /> Date Panted 5/24/2004 <br /> MARINE SERVICES RE : MARINE SERVICES <br /> 1302 W FREMONT ST 1302 W FREMONT ST <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : PHIL ACOSTA <br /> Health <br /> Dace Program Description Amcunt <br /> Invoice# IN0116056--Date ofInvoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 100.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2004 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 534.00 <br /> PAST DUE <br /> V <br /> TOTAL DUE this Billing Period $ 534.00 <br /> PP-k,',,,;TnUE I. <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENT TODAY! REG vEp <br /> JAN 3 ZpO� <br /> ��L'i'3-i�A11� SP ENV PO p P EP1T <br /> YOUR WEALTHPiOlT FOR N�`1HDE <br /> TH€CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS PAST D U E <br /> ARE PAO IN FULL <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 3Q days. <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 /> 5255.rpt <br />