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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMFJ Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD �O9941 <br /> Facility ID FA0006972 <br /> Date Printed 1/26/2007 <br /> TSI TRANS SYSTEM INC RE : TSI TRANS SYSTEM INC <br /> 707 ROTH RD 707 E ROTH RD <br /> FRENCH CAMP, CA 95231 FRENCH CAMP, CA 95231-9774 <br /> OWNER : TSI TRANS SYSTEM INC <br /> LDate Health <br /> Program Description Amount <br /> Invoice# IN0156904---Date of Invoice: 1/25/2007 I(IIIIII IIIIII III IIIII IIIII IIIII IIIII IIIII VIII IIIII IIIII VIII IIIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR <br /> $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE <br /> $ 330.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE <br /> $ 15.00 <br /> 1/25/2007 2362 UST FACILITY&1 TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,075.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 1,075. <br /> PAYMENT <br /> RECEIVED <br /> FEB 12 2007 <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 />