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fNV4N JOA.QUIN COUNTY Page 1 <br /> EIRONMENTAL HEALTH DEPARSNT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID 0003434 <br /> 11✓ Facility ID [^_FATT`0003846 <br /> 111111 \� <br /> \rll� Date Printed _ 2/10/2012 <br /> 0AAft'- TCSer. WPa\e2 <br /> VERIZON BUSINESS RE : VERIZON BUSINESS <br /> <br /> <br /> <br /> : MCI CORPORATION <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND224362--Date of Invoice: 1,30/2012 111111111111111 IN 11111111111111111111111111111 IN <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/2712012 2244 2012 HAZMAT FEE $ 2/0.00 <br /> 1/2712012 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/27/2012 2362 UST FACILITY&1 TANK $ 550.00 <br /> 1127/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/2 712 01 2 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total for this Invoice $ 1,097.00 <br /> '... Payment Due Date 2129 2 <br /> TOTAL DUE this Billing Period $ 1,097.00 <br /> i <br /> PgyN►E <br /> RECEIVED <br /> FEB 212012 <br /> SAN <br /> ENVInO 1 N COUNTY <br /> HEALTHpE ANN�r1Au�L '... <br /> Please make Checks PAYABLE to: THU - Return a Copy of This STATEMENT with Your PAYMEP"IfENT <br /> Penalties will be added to all Permit Fees For DES I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the rase 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 />