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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME!"' <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> 1NVO1`► Copy (� 0✓ AccountID AR0017746 <br /> Facility ID FA0010746 <br /> Date Printed F-5-/-301-201-2--- <br /> SAN, <br /> 5/3012012SAN, SOPHEAK MEAS RE : JAAS AUTO SERVICE <br /> JAAS AUTO SERVICE 414 W CHARTER WAY <br /> 414 W CHARTER WAY STOCKTON,CA 95206-1707 <br /> STOCKTON, CA 95206-1707 <br /> OWNER : SAN,SOPHEAK MEAS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0223623—•Date of Invoice: 1/30/2012 IIIIIIIIIIIII IIIIII�IIIIIIIIIIIIIIII VIIIIIIIIIIIII VIII ILIIIIII IIIIIIIIIIIIIII III <br /> 1127/2012 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 130.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 13.00 <br /> 4/15/2012 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total forthis Invoice $ 618.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 618.00 <br /> PAST DUE <br /> Delinquent charges <br /> Will be forwarded to <br /> COLLECTIONS <br /> in 30 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 thereaW <br />