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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART 4T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, <br /> <br /> Account ID AR0016333 <br /> Facility ID FA0009333 <br /> �irrcir <br /> Date Printed 3/10/2005 <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# IN0129003---Date of Invoice : 1/24/2005 11111111111111111111 IN 111111 11111 IN IN <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 2/17/2005 9999 PAYMENT ($ 200.00) <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ 324.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR - 9 2005 <br /> SAN JOAOUIN 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 /> 5255.rpt <br />