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SAN JOAQVJIN CUUNTY <br />ENVIRONMENTAL HEALTH DEPARANT <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />PROCESS SPECIALTIES <br />1660 W LINNE RD #A <br />TRACY, CA 95377 <br />FEB 07 2011 k` <br />I <br />COPY <br />Account ID <br />ORA 016924 <br />Facility ID <br />FA0009924 <br />Date Printed <br />1/31/2011 <br />RE: PROCESS SPECIALTIES lam/ <br />1660 W LINNE RD # A <br />TRACY, CA 95377 <br />OWNER: EDWARD MORRIS 0 \^�% <br />Date Health <br />Program Description Amount <br />Invoice # IN0210959 --- Date of Invoice : 1/31/2011 <br />1/28/2011 <br />2244 <br />2011 HAZMAT FEE <br />1/28/2011 <br />2247 <br />RCRA GEN 5<25 TONS <br />1/28/2011 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1/28/2011 <br />ERSC <br />ELECTRONIC REPORTING SURCHARGE <br />IIIIIIIIIIIIIIIIIVIIIVIIIVIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIIIIVIIIIIIIIIII <br />$ <br />300.00 <br />$ <br />1,672.00 <br />$ <br />24.00 <br />$ <br />25.00 <br />Total for this Invoice <br />$ <br />2,021.00 <br />Payment Due Date <br />3/2/2011 <br />$ <br />2,021.00 <br />TOTAL DUE this Billing Periodl <br />Please, c4a l <br />e' e name, -4+1 PermJ <br />T <br />D GESS S PE cL A -T I ES, (N G <br />-W IS A CDR GQATIOr,� A09 WWAR19 lYl-OM-< <br />M A FRI o c l PA L. P4yMEj4T <br />RECEjV ED <br />FEB 1 g 2011 <br />JOAOUIN COVPlT`! <br />SA FOVIROMF� RT"ENT <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT wit 'y'QtffIRA*# <br />penalties will be added to all Permit Fees For OES / 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 thereafte <br />5254.rpt <br />