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SAN JUAQUIN t.:UUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0033041 <br /> Facility ID <br /> FA0018663I <br /> Date Printed ! 1/28/2008 <br /> ELLIOTT, ROBERT RE : ZMT INC <br /> ZMT INC 1010 SHAW RD <br /> 1010 SHAW RD STOCKTON, CA 95215 <br /> STOCKTON, CA 95215 <br /> OWNER : ELLIOTT, ROBERT <br /> Date Health <br /> Program Description p•rc ou"- I <br /> Invoice# IN0173262---Date of Invoice: 1/25/2008 I IIIIIII IIIIII III VIII VIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII llllll VIII IIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 237.00 <br /> Payment Due Date =2/28 <br /> TOTAL DUE this Billing Period $ *0; <br /> 1 ) <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 6 2008 <br /> SAN JOAOUIN 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 /> 5254.rpt <br />