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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT r <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> INVOICE r-i Account ID AR0017933 <br /> COPY �`� FA0010933 <br /> Facility ID <br /> Date Printed 5/30!2012 <br /> CONTINENTAL MUFFLER RE : CONTINENTAL MUFFLER <br /> 230 E LODI AVE 230 E LODI AVE <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : OSORIO, HECTOR <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0223653--Date of invoice: 1/30/2012 ��������IIIIIIIIIIiIIIllllllllllllllllilll11111 ME111111111111111111111111111111111 <br /> $ 213.00 <br /> 1/27/2012 2220 SM HW GEN<5 TONS/YR $ 100.00 <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 24.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE ($ 38.98) <br /> 2/16/2012 9999 PAYMENT ($ 150.00) <br /> 4/12/2012 9999 PAYMENT <br /> Total forthls Involce $ 173.02 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 173.02 <br /> RAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> I... in 30 days. <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 OES/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 Involce Date 60 Days after the Invoice Date and each 30 Days thereafter <br />