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JJI"V 4'Vf6%%4U Il'/%,%JUIV J [ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Page 1 <br /> 800 E MAIN STREET RECEIVED <br /> STOCKTON, CA 95202 �Q� <br /> Phone: (209)488-3420 <br /> It <br /> SAN JUAUUIN COUNTY <br /> INVOICE JFRCE OF F ERGENCY SERVICEE Amount€n AR0003428 <br /> Facllq ID FA0003840 <br /> late Primed 3126/2fl08 <br /> PRO LUBE OIL CHANGE CENTERS RE: PRO LUBE OIL CHANGE CENTER <br /> 80,TS CH KEE LN 808 S CHEROKEE LN <br /> L C"5240 LODI, CA 95240 <br /> OWNER : VVILLIAMS,JAMES <br /> Dale Health <br /> Procram Description Arnount <br /> Invoice# IN0172108--Date of Invoice: 1125rZ008 111111f 1III1IN 11111111111111H11111 1011111 ,11 M 11111 ME 1111 <br /> 1/2512008 2.244 2008 HAZMAT FEE S 300.00 <br /> 1125/2008 2,399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br /> S 24.00 <br /> 311512008 9987 Haz Mat Program Penalty Fee S 30.D0 <br /> Total for this Invoice 354.00 Due Date 2f2712008 <br /> TOTAL DUE this Billing Period $ 354.00 <br /> n <br /> i-utl';t'.l1 a Fo!�1l- <br /> Please make Checks PAYABLE to: 'EHD' - Retum a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to 211 Permit Fees For CIES 1 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 Rabe of 10°x5 <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Slate and each 30 Days thereafter <br /> 5254-rpt <br />