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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM1I , <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468.3420 <br /> INVOICE Account ID AR0017553 <br /> Facility ID FA0010553 <br /> Date Printed 4/23/2003 <br /> MARINE SERVICES RE : MARINE SERVICES <br /> 1302W FREMONT ST 1302 W FREMONT ST <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER : PHIL ACOSTA <br /> Date Health cunt l <br /> Program Description <br /> Invoice# IN0103861 —Date of Invoice: 212712003 $ 200.00 <br /> 2/27/2003 2220 SM HV/GEN<5 TONS/YR $ 100.00 <br /> 2/27/2003 2244 PACT TRANSFER RECORD-DES $ 17.50 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 10.00 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee <br /> Totalforthislnvoice $ 327.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ Z 327.5 <br /> PAYMENT <br /> HMITFrF. RECEIVED <br /> r"'EAR <br /> -:r uNTu- MAY 2 7 2003 <br /> F D� � uuiuTs <br /> a;oN "SIL SAN JOAOUIN COUNTY <br /> PUBLICO HEALTH SERVICES <br /> ENVIRONMI IJAL HFALTH DIVISION <br /> Please make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FEES <br /> be a <br /> Penalties will be added to all Permit Fees For I Fees Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee Penalties will ddeded at the Rate of 10% s after the Invoice Date and each 30 Days thereafte <br /> 30 Days after the Due Date 45 Days a aafter the Inn 60 Da <br /> Invoice Date Y <br />