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omfv 0VMWully r U,Luv I r <br /> ENVIRONMENTAL HEALTH DEPARTMF`T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 t- COPY <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0017418 <br /> Facility ID FA0010418 <br /> LMOMOMMMMEMMA <br /> Date Printed 1/30/2006 <br /> LEMEMEMMMONUMMON <br /> JOE GONZALES TRUCKING RE : JOE GONZALES TRUCKING <br /> 7385 W RIPON RD 7385 W RIPON RD <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : JOE GONZALES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143029--Date of Invoice: 1/27/2006 11111111111111111111 IN 111111111111111411 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 285.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24,00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 311/2006 <br /> TOTAL DUE this Billing Period $ 09.00 <br /> REYPo(VNn <br /> FEB 0 7 <br /> SA <br /> ENVIRON MENTUMY <br /> HST H DEPARTMEW <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 /> 5254 rpt <br />