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02/09/2011 15:26 2094640130 ENVIRONMENTAL HEALTH PAGE 01/02 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT — Regal <br /> 600 E MAIN STREET r <br /> STOCKTON, CA 96202 <br /> Phone: (209)468-3420 <br /> INVOICE ` AcmuntID AR0035496 <br /> ��� FaNiq ID FA0019917 <br /> . V <br /> 1 ,,r Dale Prnled 1/31(2011 <br /> ALL TUNE&LUBE �"\ov RE : ALL TUNE& LUBE <br /> 4190 RIVERBROOK CT 543 W GRANT LINE RD 213 <br /> STOCKTON, CA 95219-2038 TRACY,CA 95376 <br /> OWNER : ALL TUNE& LUBE <br /> Date Health Amount <br /> Proge" De1COOM <br /> Invoke 4 IND213915—Date of Involte: 113112011 Y�IRIIII@III ������IY�INAMI�MA�I�■1111 <br /> 1128/2011 2244 2011 HAZMAT FEE S 115.00 <br /> 1/282011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 1121V2011 ERSC ELECTRONIC REPORTING SURCHARGE S 25.00 <br /> Tool l4rThtnvolc S 164.60 <br /> Payment Dire Date 3W2011 <br /> TOTAL DUE thks Rifling Pariotl S 164.00 <br /> t° <br /> Please make Checks PAYABLE to: 'EHlr - Return a Copy of This STATEMENT with Your PAYMENT <br /> Pennies wal be added to all Permllt Fees For DES I HMMP Fees For all SERVICE FEES <br /> at the Rata of 100%of one Baso Foe Ponettles will be added at the Rata of 10% Penalties will be added at the Rata of 101% <br /> 30 Days aftef the Duo Date 45 Days ofbr the Invoke Date 60 DM after the Involve DPL end edeh 30 Days thereafter <br /> 5254 T, <br />