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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPA TM "'T Page 1 <br /> 600 E MAIN STR.7ET <br /> <br /> 0 <br /> INVOICE Account ID AR0016310 <br /> Facility ID FA0009310 <br /> Date Printed 2/4/2008 <br /> r.wt <br /> DSW AG INC RE : DSW AG INC <br /> PO BOX 311 15910 N DAVIS RD <br /> LODI, CA 95241-03 11 LODI, CA 95242 <br /> OWNER : D & C WORTLEY 1995 FAMILY TRUS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171070---Date of Invoice : 1 X25/2008 1111111 111M E 11111 11111 11111 11h 111111111 11111 11111�1111 IN 111111 11111 1111�111 <br /> 1/25/2008 2244 2008 HAZ AT FEE $ 375.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 399.00 <br /> Payment Due Date 2/27/2008 <br /> Invoice# IN0173593---Date of Invoice: 2 4/2008 111111111111111 IIIE 11111�1111 11111 11111 11111 11111 111 11111 1111 11111�11111 1111 IN <br /> 2/4/2008 2220 SM HW GE`l <5 TONS/YR $ 213.00 <br /> Total for this Invoice $ 213.00 <br /> Payment Due Date 3/5/2008 <br /> TOTAL DUE this Billing Period $ 612.00 <br /> Please make Checks PA ABLE 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 /> 5251.rpt <br />