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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTWW • Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020323 <br /> Facility ID FA0012466 <br /> LMMMMMMMMMMM <br /> Date Printed F 1/29/2009 <br /> LONEENEWSOMMOOM <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# IN0184551 ---Date of Invoice: 1129/2009 11111111111p1111111I1111 <br /> 1/29/2009 2220 SM HW GEN <5 TONSNR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 465.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 702.00 <br /> Payment Due Date 2/28/2009 <br /> ---------- ) <br /> TOTAL DUE this Billing Period q gO2.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 9 2009 <br /> SAN JOAQUIN COUNTY <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 OES 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 /> 5254.rpt <br />