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SAN JOAQUIN COUNTY • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET COPY <br /> STOCKTON, CA 95202 \ 1 <br /> INVOICE l`l• J`� ` Account ID AR0034. <br /> Facility IDFA0o19472 I <br /> Date Printed F 4/30/2012 <br /> SANDOVAL AUTO SERVICE RE: BOYDS DRIVE LINE SVC OF STKN <br /> 731 E MINER AVE CA 679 E MINER AVE <br /> STOCKTON, CA 95202 STOCKTON, CA 95202 <br /> OWNER : EVANGELINA SANDOVAL <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0226113---Date of Invoice: 1/3012012 IIIIIIIIIIIVIII VIINIii VIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIII IIII IIII <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 270.00 <br /> 1/2712012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/1512012 9967 Haz Mal Program Penalty Fee $ 27.00 <br /> Total for this Invoice $ 346.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 346.00 <br /> PAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLE TMN <br /> 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 DES 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 />