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OAN JUAWUIN %1UUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> INVOICE Account ID AR0016026 <br /> Facility ID FA0009026 <br /> Date Printed 1/30/2006 <br /> LODI NEWS-SENTINEL RE : LODI NEWS-SENTINEL <br /> PO BOX 1360 125 N CHURCH ST <br /> LODI, CA 95241 LODI, CA 95240 <br /> OWNER : FRED MARTY &JIM WEYBRET <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142533---Date of Invoice: 1/27/2006 i iiiiiii iiiii/Iii/illi Ilii)iiiii Hii Alii iiiii iiiii HE iiiii iiia iiiiii Iii ilii iii <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 330.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 3/1/ <br /> TOTAL DUE this Billing Period $ 554.U0 <br /> Nl�Yivt <br /> ECCEI <br /> SEB a <br /> SAN JOAQUIN CO <br /> ENVIRONMENTA, <br /> HEALTH DEPARTMEN i <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 />