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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMO • Page 1 <br /> 304 E WEBER AVE -3R-D FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE l/ AccountlD F AR0016522 <br /> Facility ID F FA0009522 <br /> LNNNNNNNEENEWOMMIN <br /> Date Printed 5/8/2003 <br /> INEEMEMENNEEMMMS <br /> MARTIN-BROWER CO THE RE : MARTIN-BROWER CO THE <br /> <br /> STOCKTON, CA 95215 <br /> OWNER : THE MARTIN-BROWER CORP <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103493---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2214 CaIARP FAC STATE SURCHARGE FEE $ 200.00 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 300.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> Total for this Invoicel $ 747.50 <br /> Payment Due Date 3129/2003 <br /> TOTAL DUE this Billing Period $ 747.50 '. <br /> PAYMENT <br /> RECEIVED <br /> MAY - 8 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> EMARONNIFNTAI HFAtTH DMSION <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 />