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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTM <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209)468-3420 <br />INVOICE <br />CALIFORNIA SPRAY DRY CO* <br /> <br /> <br />Page 1 <br />Account ID AR0006891 <br />Facility ID FA0005940 <br />Date Printed 2/5/2004 <br />RE: CALIFORNIA SPRAY DRY CO' <br />4221 E MARIPOSA RD <br />STOCKTON, CA 95215 <br />OWNER: MODESTO TALLOW COMPANY <br />Health Amount <br />Gare Program Description <br />Invoice # IN0115587 --Date of Invoice : 2/4/2004 <br />2/4/2004 <br />2214 <br />CalARP FAC STATE SURCHARGE FEE <br />S <br />270.00 <br />2/4/2004 <br />2220 <br />SM HW GEN <5 TONS/YR <br />S <br />200.00 <br />2/4/2004 <br />2244 <br />2004 HAZMAT FEE <br />S <br />645.00 <br />2/4/2004 <br />2399 <br />UNIFIED PROGRAM FAC STATE SERVICE FEE <br />S <br />24.00 <br />�— Total for this Invoicel <br />S <br />1,139.00 <br />Payment Due Date <br />3/6/2004 <br />-R, �'JY 000 11*�G <br />.. <br />TOTAL DUEthis Billing Period I <br />S <br />1,139.00 <br />RECE VED <br />Mpy I p 2004 <br />SA EtvkONME ML <br />HEALTH OEPAR <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 />5255.rpt <br />