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JAIL JVAV(V 11\ VVVI`I I 1 <br /> ENVIRONMENTAL HEALTH DEPTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, C <br /> <br /> <br /> <br /> <br /> RE : CURRYS GAS <br /> CURRYS GAS 713 N EL DORADO ST <br /> PO BOX 1370 STOCKTON, CA 95202 <br /> STOCKTON, CA 9 �011 <br /> OWNER : CHANDLER, SHAWN LYNN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0158375—Date of Invoice: 125/2007 I IIIIIII IIIIII III VIII IIIII IIIII VIII VIII VIII IIIII IIIII VIII VIII IIII IIIIII 11111 <br /> IIII IIII <br /> 1/25/2007 2220 SM HW GEM<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2"7 <br /> HAZM T FEE $ 85.00 <br /> 1/25/2007 2301 UST STAT SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2301 UST STATE SURCHARGE FEE $ 15.00 <br /> 1/25/2007 2360 ADDITIONA UST $ 125.00 <br /> 1/25/2007 2360 ADDITIONA UST $ 125.00 <br /> 1/25/2007 2362 UST FACILI & 1 TANK $ 500.00 <br /> 1/25/2007 2399 UNIFIED P GRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/15/2007 9997 CORRECTION TO A CHARGE ($ 85.00) <br /> Total for this Invoice $ 1,025.00 <br /> Payment Due Date 2/2 7 <br /> TOTAL DUE this Billing Period 1,025.00 <br /> Please make Checks PAY BLE 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 />