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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME"'– Page 1 <br /> 304 E WEBER AVE -3RD FLOOR —•�a <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ! AR0016973 <br /> Facility ID I FA0009973 <br /> Date Printed 2/5/2004 <br /> CALIF DEPT OF CORRECTIONS RE : NORTHERN CALIF WOMEN'S FACILITY <br /> NORTHERN CALIF WOMEN'S FACILITY 7150 E ARCH RD <br /> PO BOX 400 STOCKTON, CA 95205 <br /> TRACY, CA 95378-0400 <br /> OWNER : CALIF DEPT OF CORRECTIONS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0115857---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 100.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 324.00 <br /> 1 <br /> 04 <br /> i <br /> S �- <br /> d� <br /> 1 hereby certify that this good or service is essential to <br /> Pnl V mainta ing departmental oons <br /> 1 <br /> Claude E.Finn <br /> 04 Warden <br /> 1 <br /> I PNMAEN T <br /> RECEIvE <br /> MAR 8 2004 <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT witBP1b& <br /> ENVIRONP i- 71 <br /> - <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 thereafter <br /> 5255.rpt <br />