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SAN JOAQUIN COUNTY Page 1 <br /> .ENVIRONMENTAL HEALTH DEPARONT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Accounup AR0017342 <br /> Facility ID 1 FA0010342 <br /> LMMELMMEMMMEMA <br /> Date Printed 7 1/24/2005 <br /> lonommmmmommoomm <br /> <br /> <br /> MANTECA, CA 95337 <br /> OWNER : FRANCES LEE <br /> Health <br /> Date Proaram Description Amount <br /> Invoice# IN0128283---Date of Invoice: 1124/2005 IIIIIIIIIIII VIVIIVIIIVIIIVIIIVIIVI VIIIVII IIII IIIIII 111111111 IIII <br /> 1/24/2005 2220 SM HW GEN <5 TONS/YR S 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 2/2312005 <br /> TOTAL DUE this Billing Period 479.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2005 <br /> SAN JOAQUIN COUNTY <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 /> 52ii rpt <br />