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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTIV T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR00 1-8-16-0— <br /> Facility ID FA0011160 <br /> Date Printed 4/23/2003 <br /> ADVANCED INDUSTRIAL COATINGS I RE : ADVANCED INDUSTRIAL COATINGS INC <br /> 950 INDUSTRIAL DR 950 INDUSTRIAL DR <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : ADVANCED INDUSTRIAL COATINGS, <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104295—Date of Invoice: 2127/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 PACT TRANSFER RECORD-OES $ 390.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 39.00 <br /> 4/24/2003 9999 PAYMENT ($ 607.50) <br /> TO for this Invoice $ 39.00 <br /> � �•!1�y{ /�' Payment Due Date 91200 <br /> Q� <br /> 7 ' • �I'-T.Y OW I N , TOTAL DUE this Billing Period $ 39.00 <br /> PAYMENT <br /> RECEIVED <br /> AUG 7.2003 <br /> SAN JOAQUIN COLLA tV <br /> PUBLIC HEALTH SERVICIS <br /> ENVIRONMENTAL HEALTH OIVISI�IN <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 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 />