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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRbNMENTAL HEALTH DEPART, 'T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0024515 <br /> Facility ID FA001443Ti <br /> Date Printed 2/22/2005 <br /> SHELLPRO INC RE : SHELLPRO INC <br /> PO BOX 2680 18378 ATKINS ROAD <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : VIRGIL SUESS & CALVIN SUESS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128871 ---Date of Invoice: 1/24/2005 I IIIIIII IIIIII III IIIII IIIII VIII VIII VIII VIII VIII 1111111111 IIII IIIIII IIIII IIII IIII <br /> 1/24/2005 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 85.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 159.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ '/ 159.00 <br /> f <br /> PAYMENT <br /> RECEIVED <br /> FEB 18 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 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 />