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J`uv VVl WV11V liVV1V 1 I <br /> ENVIRONMENTAL HEALTH DEPARTMIJ , • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STO 95202 COPY <br /> Phone:e: (209(209) 46 468-3420 <br /> INVOICE Account ID —AR 0-0 77 0-4 <br /> Facility ID FA00 00604 <br /> Date Pnnted 2/28/2006 <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 <br /> Amount <br /> Invoice# IN0143074---Date of Invoice: 1/27/2006 IIII II I III IIIV I I I I IIIVI IIII IIII VIII VI IVIIIIIIII I IMI III III <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 145.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 369.00 <br /> Payment Due Date 3/1/2006---\, <br /> SEUIUIND ®TICS TOTAL DUE this Billing Period <br /> �1AR 1 4 2006 <br /> SAN RONMICOU�17 <br /> ' '/ <br /> HEALTH DEp MCNT <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 />