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SAN JOAQUIN COUNTY • Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMSF <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0017109 <br /> Facility ID FA0010109 <br /> Date Printed 5/25/2005 <br /> No 5-s <br /> RAMIREZ AUTOMOTIVE RE : RAMIREZ AUTOMOTIVE <br /> 811 N SACRAMENTO ST 811 N SACRAMENTO ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : JUAN RAMIREZ JR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01281 98—Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIVIIIVIIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIIIIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 285.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> 4/15/2005 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 737.50 <br /> PASTD �' PAST DUE <br /> Delinquent Gh'rges F TOTAL DUE this Billing Period $ 737.50 <br /> will be forvtar,4ed' "o <br /> in <3�..r days. ATIf-ikiflON <br /> YOU11 HEALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL <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 /> 5255.rpt <br />