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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME0 . <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0018015 <br /> Facility ID I FA0011015 <br /> Date Printed 1/26/2007 <br /> SHELL PIPELINE COMPANY RE : SHELL PIPELINE COMPANY <br /> 20945 S WILMINGTON AVENUE 25705 PATTERSON PASS RD <br /> CARSON, CA 90810 TRACY, CA 95376 <br /> OWNER : SHELL PIPELINE COMPANY <br /> Date Health <br /> Program Description Amount <br /> i <br /> Invoice# IN0156987---Date of Invoice: 1/25/2007 11111 11111 11111 11111 IN 111111 11111 IN 1111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 375.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 605.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 605.00, <br /> PA M T <br /> RE ED <br /> FEB 0 9 200r <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!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 />