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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 /> Phone: (209) 468-3420 <br /> __... __ _ <br /> (�/" Accoun D <br /> <br /> <br /> ity ID FA0009333 <br /> Date Printed 4/25/2006 <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# IN0142662---Date of Invoice: 1/27/2006 11111 11111 1111 111111 IHI IN 1111 <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 3000 <br /> 4/15/2006 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 754.00 <br /> PAST DUE! Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period 754.00 <br /> WE WOULD PAYMENT TODAY YOUR <br /> ?A aoo, <br /> 1fQUR HEALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMTS <br /> A,T <br /> px: <br /> � "' `!'SENT. <br /> �l VEL <br /> NA L)4 2006 <br /> SAN,10,1 Inf <br /> FNVIR p COUni7Y <br /> N�LTI-1 nM rrAL <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 /> �2�4.rpt <br />