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04/04/2011 10:21 2094640138 ENVIRONMENTAL HEALTH HAbL nunz <br /> ENVIRONMENTAL HEALTH DEPART► VT page 1 <br /> 600--E MAIN STREET ..L <br /> STOCKTON, CA 95202 <br /> Phone: (209)466-3420 <br /> INVOICE RECEIVED <br /> Account iD AR0076046 <br /> APR - 4 2011 <br /> Faouty l0 F FA0009046 <br /> OFFICE OF JOAOUIN COUNTY 2/26/201 f <br /> OF EMERGENCY Dale <br /> SERVICES <br /> CALIFORNIA RADIATOR WORKS RE: CALIFORNIA RADIATOR WORKS <br /> PO BOX 159 323 S CALIFORNIA ST <br /> MOUNTAIN RANCH,CA 95246-0159 STOCKTON, CA 95203-3520 <br /> OWNER : FRANK BROCKMAN <br /> Date Health <br /> Program Description <br /> Y� �1 W p'n Ip p1 W� I1� Iq X11 Amount <br /> Invotce0 IN0210060...Date oflnvolca: 1131f2011 II�NII�IINIIId7II1�IMI11Al1YII�IM�II1tlI11IInVaMpol� <br /> 1/28/2011 2220 SM HIN GEN c5 TONS/YR 3 213.00 <br /> 1/2812011 2244 2011 HAZMAT FEE S 205.00 <br /> 1/26/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE 4 2500 <br /> Told for this ievalce S 547.00 <br /> Payment Dire Date 3812011 <br /> .�,. ON P/ IJCTTVTOTAL DUE this Bll6ng P—eri-p—db $ 547.00 <br /> o; F7 <br /> Please make Checks PAYABLE to: 'END' - Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalbes will be added to a6 Permit Fees For UES/HMMP Fees For as SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rata of 10% Peosales will be added at the Rete of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Data 60 Days after the Invoice Date and sash 30 Days thereafter <br /> $2 p6.rpt <br />