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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> <br /> D AR0005765 <br /> I-Mmmommmumm <br /> Facility ID LFAOCI05303 <br /> Date Printed 1/28/2008 <br /> �iCiY of CztL' n G RE : r+01 V-c)` Cit,Lt CC)'1 11164 <br /> PO BOX X 1521 W CHARTER WAY <br /> SACRAMENTO, CA 95813-1306 STOCKTON, CA 95206 <br /> OWNER : 114oi t Cct(I Fo'y) tc'j <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0169998---Date of Invoice: 1/25/2008 11111111 111111 III VIII VIII IIIII IIIII IIIII VIII VIII VIII VIII VIII 11111111111 IIII IIII <br /> 1/25/2008 2229 GEN 50<250 TONS PERMIT $ 2,149.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 690.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,863.00 <br /> Payment Due Date 2/27/2008 <br /> �! <br /> TOTAL DUE this Billing Period $ 2,86 0 <br /> r P��;;tV�wEG <br /> j JAN 3 1 2008 F EG 1 _i 2008 <br /> k`I SAN JOAOUIN COUNTY <br /> �NJ <br /> ENVIRONMENTAL <br /> DEPARTMENT <br /> r" <br /> �f <br /> FEB 0 2 2008 <br /> � x <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 /> 5254.rpt <br />