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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAA"4ENT .ai Page 1 <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> 209-468-3420 <br /> INVOICE RECEIVq! t 10A- 0 32091 <br /> un <br /> APR 2 0 29v7Printed <br /> 3/27/2007 <br /> I r� OFFICE OF EMERNNQY SERVICES <br /> LOMBANA, LUIS Re: CASTLE AUTOMOTIVE <br /> CASTLE AUTOMOTIVE 2315 N ELDORADO ST <br /> 2315 N EL DORADO ST <br /> STOCKTON CA 95204 STOCKTON CA 95204 <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# INOISB148---Date of invoice: 1/25/2007 11111111111111111111 fill 11111111111 fill IN <br /> 1/25/2007 2244 PACT TRANSFER RECORD-OES $100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $10.00 <br /> Total forth,,Invoice $134.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $134.00 <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> ■ AS ■ DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> in 30 days. <br /> WE r . [Hr k YOUR <br /> PA:;;"r',..ST TODAY! <br /> 5257.rpt <br />