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600 E MAIN STREET <br /> PTO 95202 COPY <br /> Phone:e: (209(209) 46 468-3420 ...i <br /> INVOICE RECEIVED Account ID AR0016449 <br /> Facility ID F FA0009449 <br /> SAN JOAQUIN COUNTY Date Printed 5/26/2011 <br /> OFFICE OF EMERGENCY SERVICES <br /> EILEEN COSTELLO RE : ABOVE ALL AUTO REPAIR <br /> ABOVE ALL AUTO REPAIR 2151 W COUNTRY CLUB BLVD <br /> 2151 COUNTRY CLUB BLVD STOCKTON, CA 95204 <br /> STOCKTON, CA 95204-4801 <br /> OWNER : COSTELLO, EILEEN $ RICHARD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0210813---Date of Invoice: 1/3112011 IIIi�IIIIIIIIII VIIIILIIVIIII'IIIIIIIIIIIIIIIIIulllllllllllllllllVIIIII�IIII <br /> 1/28/2011 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 100.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2011 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total For this Invoice $ 585.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 585.00 <br /> Donquentrchat <br /> ag <br /> Fill h(9 <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 /> 5254 rpt <br />