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am" JUMWUIN I.VUN I T <br />ENVIRONMENTAL HEALTH DEPARTMr"T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />MAXIM CRANE WORKS <br /> <br /> <br />Page 1 <br />COPY <br />Account ID AR0016394 <br />lummomommmmmmom <br />Facility ID f=A0009394 <br />Date Printed F 1/30/2006 <br />RE: MAXIM CRANE WORKS <br />2373 MARIPOSA RD <br />STOCKTON, CA 95205 <br />OWNER: ANTHONY CRANE RENTAL, L P <br />Date Health <br />Program Description Amount <br />Invoice # IN0142691 -- Date of Invoice : 1/27/2006 <br />1/27/2006 2220 SM HVI GEN <5 TONS/YR <br />1/27/2006 2244 2006 HAZMAT FEE <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />200.00 <br />$ <br />345.00 <br />$ <br />2400 <br />Total for this Invoice $ <br />569.00 <br />Payment Due Date <br />3/112006 <br />TOTAL DUE this Billing Period $ 569.00 <br />RECc VED <br />FEB 13 2006 <br />SAIV ENORODIN CDUNTy <br />HEALTH DEl Ak <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 thereafte <br />254 rpt <br />