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WAN JUAWUIN UUUIV I T <br /> ENVIRONMENTAL HEALTH DEPARTMEI Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STn--KTON, CA 95 <br /> <br /> CE AccountlD 2 <br /> R0016268 <br /> Facility ID FA0009268 <br /> Date Printed 1/26/2007 <br /> CHEROKEE FREIGHT LINES RE : CHEROKEE FREIGHT LINES <br /> 5463 E CHEROKEE RD 5463 E CHEROKEE RD <br /> STOCKTON, CA 95215-1100 STOCKTON, CA 95215-1120 <br /> OWNER : GARY SCANNAVINO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156494---Date of Invoice: 1/25/2007 I IIIIIII IIIIII III IIIII VIII VIII VIII VIII VIII VIII VIII IIIII IIIII IIII IIIIII 11111 <br /> IIII IIII <br /> 1/25/2007 2227 GEN 5<25 TONS PERMIT $ 1,615.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 525.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,164.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 2,164.00 <br /> PAYMENT <br /> RECEIVED <br /> V EB - 5 m7 <br /> SAN JOAQUIN COUNT'S <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 /> 5254.rpt <br />