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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME' Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR , <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD �AR0016998 <br /> Facility ID FA0009998� <br /> rme. <br /> Date Printed 2/28/2007 <br /> MARCI, JAMES RE : MARCI'S DIESEL SERVICE INC <br /> MARCI'S DIESEL SERVICE INC 2973 LOOMIS RD <br /> <br /> <br /> OWNER : MARCI'S DIESEL SERVICE INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156746---Date of Invoice : 1/25/2007 111111111$E 111 111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111�111 <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 330.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 560.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 564 0.00 <br /> Njj <br /> 1C <br /> PAYMEN D <br /> 1�AR 0 7 Zp0 <br /> UNN <br /> SAN JO RONMEt4TAt-N,EtvT <br /> H�tI"DEPARTME <br /> Please make Checks PAYABLE to: 'EFID' -- 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 /> X21-4.rpt <br />