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Z /AUUIN COUNTY <br /> ENVI )NA^ENTAL HEALTH DEPARTMF-'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARoozzss7 <br /> Facility ID FA0013558 <br /> Date Printed F 1/30/2006 <br /> <br /> <br /> LODI, CA 95240 <br /> OWNER : KEMPER REFRIGERATION <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0143258---Date of invoice: 1/27/2006 111111111 Hill 1111111111111111111111111111111111111111 fill 11111111111 fill IN <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for[his Invoice $ 524.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $�0 <br /> r'AYMENTT = <br /> RECEIVE:[- <br /> FEB <br /> ECEIVEDFEB 0 9 2b, <br /> SAN JOAQUIN COUN iY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> "_SJ rpt <br />