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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM% Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> Account ID AR0016333 <br /> Facility ID FA0009333 <br /> Date Printed 1/26/200 <br /> C DEJONG TRUCKING INC RE : C DEJONG TRUCKING INC <br /> PO BOX 126 24975 S AUSTIN RD <br /> RIPON, CA 95366 RIPON, CA 95366 <br /> OWNER : C DEJONG TRUCKING INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156518---Date of Invoice: 1/25/2007 I IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 300.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 530.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ X530. <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 Zoo <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 /> 5254.rpt <br />