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clMVIRONMENTAL HEALTH DEPARTM& <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 Page 1 <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Account ID F AR 0004064 <br /> Facility Ip FA0004382 <br /> 4/15/2014 <br /> AMERON INTERNATIONAL Date Printed <br /> <br /> 10100 W LINNE RD <br /> TRACY, CA 95377 <br /> OWNER : AMERON INTERNATIONAL <br /> Date Health <br /> Program Description <br /> Invoice# IN0247452---Date of invoice. 1/30/2014 Amount <br /> 1/30/2014 1921 HMSP-Regular-Primary Location *IN02474523116.00* <br /> 1/30/2014 2228 GEN 25<50 TONS PERMIT <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 495.00 <br /> 1/30/2014 2832 AST FAC 10 K-</_100 K GAL CUMULATIVE $ 1,911.00 <br /> $ 35.00 <br /> $ 675.00 <br /> Total for this Invoice � <br /> $ 3,116.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period �— <br /> $ 3,116.00 <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 HMBP Fees For all SERVICE FEES <br /> atthe 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 /> ice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invo <br /> 5254.rpt <br />