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ENVIRONMENTAL HEALTH UhPAK I M <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> 1 NVOI CE <br /> Account ID AR0004199 <br /> Facility ID FA0004516 <br /> Date Printed 9/1/200 <br /> FORWARD INC RE : FORWARD DISPOSAL SITE <br /> FORWARD DISPOSAL SITE AUSTIN RD <br /> 1145 W CHARTER WAY MANTECA, CA 95336 <br /> STOCKTON,CA 95206 <br /> OWNER : FORWARD, INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0193327---Date of Invoice: 9/1/2009 II'VIII'IIIIIIIIVIIIII'IIIIIIIIII'IIIIIIIIIIII'III'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIII IN <br /> 7/1/2009 4401 TIPPING FEES @.5 PER TON $ 41,553.00 <br /> Total for this Invoice $ 41,553.00 <br /> Payment Due Date 10/1/2009 <br /> TOTAL DUE this Billing Period $ 53.00 <br /> REcE VNT <br /> ED <br /> SEP 2 2 2009 <br /> SAN j0AQUElvVin0tvII�C <br /> OU <br /> NRA TND PA"'WON, <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 />