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SAN JUAUUIN GUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMS • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017604 <br /> Facility ID F FA0010604 <br /> Date Printed 1/26/2007 <br /> URBACH, BILL RE : YALE -PACIFIC INC <br /> YALE PACIFIC 2331 STAGECOACH RD <br /> 30361 WHIPPLE RD STOCKTON, CA 95215 <br /> UNION CITY, CA 94587 <br /> OWNER : YALE PACIFIC INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156920---Date ofInvoice: 1125/2007 111111111111111111111111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 145.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 375.00 <br /> Payment Due Date 212 512 0 0 7 <br /> TOTAL DUE this Billing Period $ 375.00 <br /> ENTER C', <br /> FEB 2 B 2007 <br /> 12LI3 i �u PAYMENT <br /> RECEIVED <br /> )UE nATE <br /> MAR - 5 2007 <br /> +-� fro ASI"•"". :. COUNTY JOAQUIN <br /> S�NVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks YABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit FeesS 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 /> 5254.rpt <br />