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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTP'—NT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, C <br /> <br /> CE AccountlD AR0016388 <br /> Facility ID FA0009388 <br /> Date Printed 1/24/2005 <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# IN0129098---Date of Invoice: 1/24/2005 11111 11111 11111 11 IN 111111 11111 IN�III <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 285.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 509.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 509.00 <br /> PAYMEN T <br /> RECEIVED <br /> FEB 1 5 ALJ <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 /> i255.rpt <br />