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Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICEAccountID AR0022194 <br /> REcEIVE® <br /> Facility ID FA0013354 <br /> JUL 3 0 2009 <br /> Date Printed F 7/28/2009 <br /> SAN JOAQUIN COUNTY LMMOMMONEWOOMMOMM <br /> OFFICE OF EMERGENCY SERVICES <br /> THE SPOT AUTO REPAIR RE : THE SPOT AUTO REPAIR <br /> 430 N AIRPORT WAY UNIT#B 430 N AIRPORT WAY STE B <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : BIEGLER, JAMES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0189765---Date ofInvoice: 5/26/2009 1p111p111p11p111VII 11p111p1pp11p11p111p11�p1 <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 200.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mal Program Penalty Fee $ 20.00 <br /> Total for this Invoice $ 244.00 <br /> Payment Due Date 612612009 <br /> TOTAL DUE this Billing Period $ 244.00 <br /> Danauent charges, <br /> viii Je siorwardet3 to <br /> in 30 dRYs. <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 I 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 /> S)54 rnr <br />