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ENVIRONMENTAL HEALTH DEPARTMr Page 1 <br /> 600 E MAIN STREET �. <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE 3��� �������®ccountl0 ARoozass7 <br /> Facility ID FA0014523 <br /> JUL 3 0 2009 <br /> Date Printed 7/28/2009 <br /> SAN JOAQUIN COUNTY <br /> OFFICE OF EMERGENCY SERVICES <br /> MARK HA RE : THANH AUTO REPAIR <br /> THANH AUTO REPAIR 1402 BOURBON ST <br /> 1402 BOURBON ST STOCKTON, CA 95204 <br /> STOCKTON, CA 95204 <br /> OWNER : HA, MARK <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0189762---Date of invoice: 5/26/2009 111111111111111 Ell 111111111111111 IN <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 3 YEARS BACK BILLING $ 460.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee S 46.00 <br /> Total for this Invoice $ 506.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 506.00 <br /> J J <br /> iDeiinquent °✓merges <br /> 1VVM be jorwarded I"1 <br /> 5o days <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 DES/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 /> SJS4 mi <br />