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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMAff <br /> 304 E WRBFJLAVE -3RD FLOOR lqw " <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017139 <br /> FacilitylD FA0010139 <br /> Date Printed 2/5/2004 <br /> PREMDOR INC RE: PREMDOR INC <br /> 433 W SCOTTS AVE 340 W SCOTTS AVE <br /> STOCKTON, CA 95203 STOCKTON, CA 95203 <br /> OWNER: PREMDOR INC <br /> Health Amount <br /> Date P=rogram Description <br /> Invoice# IN0115916—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONSNR S 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE S 345.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> Total for this Invoice $ 569.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 569.00 <br /> PAYMENT �67 <br /> RECEIVED <br /> MAR 4 2004 <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 />