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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9 <br /> <br /> Account ID AR0016388 <br /> Facility ID FA0009388 <br /> Date Printed 1 2/5/2004 <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 /> Health <br /> Date rioy'rF, Deed' tion' Amount <br /> Invoice# IN0115643---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE S 285.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> Total for this Invoice S 509.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period S 509.00 \ <br /> PAYMENT <br /> RECEIVED <br /> ;..,.I . ! ?004 <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 I 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 />