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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM Page 1 <br /> 304 E WEBERIAVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> t ID AR0018279 <br /> Facility ID F FA0011279 <br /> Date Printed F 5/1/2003 <br /> CUSTOM METAL FINISHING RE : CUSTOM METAL FINISHING <br /> 1550 SHAW RD#C 1550 SHAW RD C <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : CUSTOM METAL FINISHING <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND103970—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 345.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mal Program Penalty Fee $ 34.50 <br /> 5/1/2003 9999 PAYMENT ($ 562.50) <br /> Total for this Invoice $ 34.50 <br /> Payment Due Date 3/29/2003 <br /> i <br /> TOTAL DUE this Billing Period $ <br /> 34.50 <br /> PENALTY OWING <br /> PAYMENT <br /> RECEIVED <br /> U <br /> MAY 14 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HErLTIFI SERWOES <br /> F{1VIgCIMWddlTa IiFAITH;01yf;atQly <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 DES I 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 /> 52S5 pt <br />