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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr'"'T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016998 <br /> Facility ID FA0009998 <br /> Date Printed 1 2/28/2008 <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# IN0170385---Date of Invoice: 1/25/2008 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII(IIII(IIII IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 330.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 567.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 567.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 10 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 /> �25a-rpt <br />