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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART <br /> N�TCEIVE® <br /> 600 E MAIN STREET V C V G <br /> STOCKTON, CA 95202 /� D APR 2 2��6 <br /> Phone: (209)468-3420 f� <br /> bHN JUHUUIN RRO0 88316 . <br /> INVOICE OFRCEOFEMERGENCYCUUryIy ftF <br /> Facility ID FA00-16-19-3- <br /> Date <br /> 1 1193Date Printed F 3/26/2008 <br /> CAR QUEST RE : CAR QUEST <br /> 1645 E MINER AVE 1645 E MINER AVE <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : GOLDEN STATE SUPPLY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0172028—•Date of Invoice: 1/2512008 IIIIIIIIIIIVIIVIIIIIIIII IIIIIIIIIIIIIVIIVIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 255.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 304.50 <br /> Payment Due Date 2127/2008 <br /> TOTAL DUE this Billing Period $ 304.50 <br /> L-.� ay DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECTIONS <br /> 'n 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 I 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 />