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JAN JUAUUIN UUUN I Y Paye <br /> ENVIROP„9ENTAL HEALTH DEPARTM 'T <br /> 304 WEBER AVE - 3RD FLOOR 'Wor <br /> PTO 95202 COPY <br /> Phone:e: (209(209) 46 46 8-3420 <br /> INVOICE Account ID AR0018042 <br /> Lummommmommma <br /> Facility ID FA0011042 <br /> Date Printed F 2/28/2006 <br /> <br /> <br /> MANTECA, CA 95337 <br /> OWNER : ASH GADDOURA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143153---Date of Invoice: 1/27/2006 11111111111111111111 fill 11fil������������� <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 224.00 <br /> OTIL �v�O Se�v I C Q 5 � <br /> ©AICA: <br /> Ca\\ <br /> MAR 0 8 2006 <br /> _a4om I� m ENVIP,0 VIVEIVT HEALTH <br /> PERMIT/SERVICES <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 I 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 /> -z4 rpt <br />