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JHIV JuNwul'v ODUN I Y <br /> ENVIRQNMENTAL HEALTH DEPARTMENT • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR - <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account 1DAROo17109 <br /> Facility ID FA0010109 <br /> Date Printed 6/27/2003 <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 <br /> Amount <br /> Invoice# IN0103698--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR-Operating Permit Fee $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 285.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mal Program Penally Fee $ 28.50 <br /> 5/15/2003 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 731.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 731.00 <br /> PAST DUE! <br /> WE WOULD APPRECIATE YOUR <br /> PAYMENTTODAY! <br /> a i4ST DUE <br /> Delinquent charges <br /> will b� forwarded to <br /> LLC <br /> CTIQNS <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />