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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART JT <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON <br /> <br /> AccountlD AR0017686 <br /> Facility ID FA0010686 <br /> Date Printed �.2/14/2005—j <br /> ECKERT COLD STORAGE RE : ECKERT COLD STORAGE <br /> 19901 S MC HENRY AVE 19901 S MCHENRY AVE <br /> ESCALON, CA 95320 ESCALON, CA 95320 <br /> OWNER : ECKERT COLD STORAGE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128361 ---Date of Invoice: 1/24/2005 I IIIIIII IIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 540.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ i > <br /> Payment Due Date 2314963' <br /> TOTAL DUE this Billing Period $ 764.00 <br /> PAYMENT <br /> RECEiVEG <br /> �-tH 1 4 2005 <br /> SAN JOAQUIN 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 /> 5255.rpt <br />