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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEP RTMr"T Page 1 <br /> 304 E WEBER AVE -3RL' FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0007277 <br /> +(/ Facility ID FA0006185 <br /> Date Printed 1/30/2006 <br /> BALAJI ANGLE RE : MIRAMAR ENTERPRISES <br /> MIRAMAR ENTER RISES 1605 S EL DORADO ST <br /> 1605 S EL DORADP ST STOCKTON, CA 95206 <br /> STOCKTON, CA5206 <br /> OWNER : ANGLE, BALAJI S <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0143444---Date of Invoice: /27/2006 11111 1111 111111 11111 IN1111 <br /> 1/27/2006 2220 SM HW G N <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZ AT FEE $ 270.00 <br /> 1/27/2006 2301 UST STA E SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2301 UST STA E SURCHARGE FEE $ 15.00 <br /> 1/27/2006 2360 ADDITIONAL UST $ 125.00 <br /> 1/27/2006 2362 UST FACILITY&1 TANK $ 500.00 <br /> 1/27/2006 2399 UNIFIED F ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 1,149.00 <br /> Payment Due Date 3/1/20 <br /> TOTAL DUE this Billing Period $ 1,149.0 <br /> 11-�`1','*.?j <br /> 6 E <br /> MAR 12006 <br /> SAN JOAOUIP! COUNT" <br /> ENVIRONME14TAL <br /> HEALTH DEPART,MEN F <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 /> 5254.rpt <br />