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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMI Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016998 <br /> Facility ID FA6009998 <br /> t_ <br /> Date Printed 2/28/2006 <br /> MARCI'S DIESEL SERVICE INC RE : MARCI'S DIESEL SERVICE INC <br /> <br /> STOCKTON, CA 95205 <br /> OWNER : MARCI'S DIESEL SERVICE INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142894---Date of Invoice : 1/27/2006 1111111 E$E 11111 11111 11111 111 11111 11111 11111 11$11111 1111 111�11111 1111�111 <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 330.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 554.0 <br /> T MEL/ <br /> v006. <br /> SAN JOAQUI�, —.— Ty <br /> ENVIRON i , <br /> HEALTH OEPA.R'lrALTAL <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 /> i2jd.rpt <br />