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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMe • <br /> L <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0018015 <br /> Facility ID FA0011015 <br /> Date Printed 5/27/2003 <br /> SHELL PIPELINE COMPANY LP 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 /> Dano Health <br /> Program Description Amount <br /> Invoice# IN0103947--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HAZMAT FEE $ 360.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 36.00 <br /> 5/6/2003 9999 PAYMENT ($ 577.50) <br /> Total for this Invoice $ 36.00 <br /> Payment Due Date 3/29/2003 <br /> PIF N I._T Y 'AW I NG <br /> TOTAL DUE this Billing Period $ 36.00 <br /> P,4oYPVIEN--4 <br /> RECEIVED <br /> .JUN - 5 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMFNTAI HEALTH DIVISION <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 /> 5a55.mt <br />