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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF f • Page 1 <br /> 3,04 E WEBER AVE .3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR00031 4— <br /> LMOMMENEEMMMIM <br /> Facility ID FA0003565 <br /> Date Printed 2/27/2004 <br /> lommommmoommond <br /> UNIVERSAL SWEEPING SERVICES RE : UNIVERSAL SWEEPINGS SERVICES <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : UNIVERSAL SWEEPINGS SERVICES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115709---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 300.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoicel $ 524.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 524.00 1 <br /> REC VES <br /> F E� 2 q zaoa <br /> SSN�RONMfN <br /> HEN-w DFP <br /> WTMfW <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 I 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 />