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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTNW Page 1 <br /> 304 E WEBER AVE -3RD FLOOR r <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account 11) β€”AR 0017-0β€”01 <br /> Facility ID FA0010001 <br /> Date Printed 2/5/2004 <br /> STOCKTON WOOD SHAVINGS RE : STOCKTON WOOD SHAVINGS <br /> PO BOX 47 938 E FRENCH CAMP RD <br /> LODI, CA 95241 FRENCH CAMP, CA 95231-9720 <br /> OWNER : BATTAGLIA, BARBARA <br /> Date Health <br /> i Prgrom Dagrrintion Amount <br /> Invoice# IN0115866---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 360.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 434.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Periodl 434.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 7 2004 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PAYABLE to: 'EHD' β€” Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/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 />