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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMV Page 1 <br /> 304 E WEBER AVE -,3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 <br /> Phone: (209)468-3420 <br /> AccountlD —AR 0015965 <br /> INVOICE FEB <br /> 3 2005 LNOMMMMEMMMMA <br /> ENVIRONMENT HEALTH Facility ID PA000ssss <br /> LMIEMNEEMENUMMA <br /> PERMIT/SERVICES <br /> Date Printed 1/24/2005 <br /> BARNES TRUCKING INC RE : BARNES TRUCKING INC <br /> PO BOX 6158 1817 S FRESNO AVE <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : DAVID BARNES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128156--Date of Invoice: 1124/2005 (IIII IIIIIIVIIIVIIIVIIVIIIIIIIIIIVIVIIVIIIII IIIIIIVIIIIIIII <br /> 1/24/2005 2220 SM HW GEN <5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 524.00 <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 />