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bAN JUAUUIN I:UUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTM� � Page 1 <br /> 304 E'WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 RECEIVED FEB ; 200¢ COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020323 <br /> FacilitylD FA0012466 <br /> Date Printed 1/30/2006 <br /> PREMIER FINISHING RE : PREMIER FINISHING <br /> 7910 S LONGE ST 7910 S LONGE <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : PREMIER FINISHING (LONGS) <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143191 ---Date of Invoice: 1/27/2006 11111111111111111111 IN 11111111111111111 <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 480.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice I $ 704.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 704.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2t . <br /> SAN JOAgUIN CO, NTy <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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/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 /> 5254.rpt <br />