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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME. _ Page 1 <br /> 304 E WESER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> Account ID AR0010443 mj <br /> Facility ID FA0007174 <br /> Date Printed 225/2004 <br /> SAN-I-PAK INC RE : SAN-I-PAK INC <br /> PO BOX 1183 23535 S BIRD RD <br /> TRACY, CA 95378-1183 TRACY, CA 95376 <br /> OWNER : SAN-I-PAK INC <br /> Date Health <br /> Program Description Amcunt <br /> Invoice# IN0115909---Date of Invoice : 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 345.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 569.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 569.00 <br /> F INT E R-ED FEB 2 6 2603 <br /> PAYMEN_I <br /> RECFIVEC <br /> R E MAR .� 2004 <br /> L t <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 />