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SAN JOAQUIN COUNTY RECEIVED Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTI. AT \,r <br /> 600 E MAIN STREET i�p,' 2007 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 EO EMERJUAUGENCY <br /> SERVICES OFFICE OF EMERGENCY SERVICES <br /> INVOICE (� Account l0 AR0020223 <br /> ✓d.,`� I <br /> Facility ID FA0012369 <br /> Date Pnnteo 5/24/2007 <br /> GREG & SUSAN LOOMIS RE : (BRICKYARD AUTOMOTIVE <br /> BRICKYARD AUTOMOTIVE 820 S BECKMAN RD STE 3B <br /> 820 S BECKMAN RD STE #3B LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : �LOOMIS, GREG & SUSAN <br /> I <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0158022—Date of Invoice: 1/25/2007 I IIIIIII IIIIII III IIIII IIIII IIIII IIIII IIIA VIII VIII VIII INTI 11111111111111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 300.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> 4/15/2007 9994 PERMIT FEE PENALTY $ 206.00 <br /> Totalforthis invoice $ 766.00 <br /> PAST DUE <br /> TOTAL DUE this Biiiing Period $ 766.00 <br /> PAST D U E <br /> Delinquent char' es <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. ..-4 <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of Thi 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 ays after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />