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JAN JUAWUIN UUUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMr"T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> INVOICE Account ID AR0016388 <br /> Facility ID FA0009388 <br /> Date Printed 1/30/2006 <br /> AA& BOB ALLEN INC RE : AA & BOB ALLEN INC <br /> 2904 BEYER LN 2904 BEYER LN <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : A A& BOB ALLEN INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142687---Date of Invoice: 1/27/2006 I(IIIIII IIIIII III VIII VIII IIIII IIIII VIII VIII IIIII IIIII IIIII IIII IIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 285.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date /2806 <br /> TOTAL DUE this Billing Period $ 509.00 <br /> �p <br /> FEB 2 <br /> SAN 3 <br /> NFACTy opfATM�n, <br /> T <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 CIES/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 />