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SAN-JUAUUIN i UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTME''T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 `1 O P, <br /> INVOICE l D Account ID AR0035496 <br /> Facility ID FA0019917 <br /> Dale Printed 3/31/2010 <br /> ALL TUNE & LUBE RE : ALL TUNE & LUBE <br /> 543 W GRANT LINE RD #213 543 W GRANT LINE RD #213 <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER : ALL TUNE & LUBE <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0200909---Date of invoice: 2/2/2010 11111111 111111 III VIII IIIA VIII VIII VIII VIII VIII VIII VIII IIII 111111 VIII IIII IIII <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 115.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25'00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 11.50 <br /> Total for this Invoice $ 175.50 <br /> Payment Due Date 31412010 <br /> TOTAL DUE this Billing Period $ 175.50 <br /> IPA 0 <br /> Delinquent charges <br /> will be forwarded to <br /> OLLEC iON <br /> %r "0 iia!>s. <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 />