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OHiv JUAUUI'N COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMjf Page 1 <br /> 304 E 1 VEBFR AVE -3RD FLOOR • <br /> STOCKTON, CA 95202 ' <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Account ID € AR0017836 —n <br /> Facility ID FA0010836 <br /> Date Printed 4/4/2005 <br /> MV TRANSPORTATION RE : MV TRANSPORTATION <br /> 360 CAMPUS 1250 S WILSON WAY <br /> FAIRFIELD, CA 94534 STOCKTON, CA 95205 <br /> OWNER : ALEX LODDE <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0128384---Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII 111111111 IN 1/24/2005 2220 SM HW GEN<5 TONS/YR <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 200.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 300.00 <br /> 3/15/2005 9987 H n + ogram Penalty Fee ) $ 24.00 <br /> $ 30.00 <br /> Q Total for this Invoice $ 554.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 55 .00 <br /> �4 <br /> PENALTY OWING <br /> �pYME�1 <br /> APR � 2005 <br /> �ouNN <br /> SAN��F NME-�MEt1T <br /> H�LTN OyP8 <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 <br /> 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 />