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_ +•c�i� cam.+. cuwovuioo uvvlrtu�or,t� r�w,n rakz ou uv <br /> SAN JOAVUIN COUNTY // Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME, p� <br /> O E MAIN STREET <br /> S RECEIVED <br /> TOCKTON, CA 95202 RECEIVED <br /> � <br /> Phone: (209)466-3420 <br /> INVOICE AUG 2 4 2010 Amo m1.D AR0016078 <br /> SAN JOAQUIN COUNTY FadN71D F F—AO009-07-8 <br /> OFFICE OF EMERGENCY SERVICES <br /> Dom Prhied 7!27!2010 <br /> FREIHS AUTO REPAIR <br /> RE: FREIHS AUTO REPAIR <br /> 916 BLACK DIAMOND WAY#B 916 BLACK DIAMOND WAY B <br /> LODI,CA 95240 LODI,CA 95240 <br /> OWNER : CURTIS FREIH <br /> Date program Dsaytion Am■ounppt <br /> invokes INOI97640—Date of invoke: 2812010 <br /> 2/1/2010 2220 SM HW GEN<5 TONSIYR f 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE 5 100.00 <br /> 2!1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE f 2100 <br /> 2/12010 ERSC ELECTRONIC REPORTING SURCHARGE f 25.00 <br /> 3/15/2010 99'97 CORRECTION TO A CHARGE (b 213.00) <br /> 3/202010 9987 Haz Mat Program Penalty Fee b 10.00 <br /> 5/5/2010 9999 PAYMENT IS 53.00) <br /> 5252010 9999 PAYMENT (S 53.00) <br /> TWlfa tnh tmolce S 53.00 <br /> PAST Due <br /> TOTAL DUE this Billing Period S 53.00 <br /> Delinquent charges <br /> will be forwarded to <br /> in 30 dans. <br /> Pleats make Checks PAYABLE to: 'EHD' – Return a Copy o1 This STATEMENT with Your PAYMENT <br /> Pon,Nie4 will be added to all Permit Fees For DES/HMMP Fern For all SERVICE FEES <br /> at the Rate o 100%of the Hasa Fee P maltles will be added at the Rate of 10% Penalties will be added at the Rata of 10% <br /> 30 Days after the oua Date 45 Days after the Invoice Date 60 Days after the Invoke Date antl each 30 Days thereafter <br /> 525WMt ._ <br />