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ul/OO/Luuo ♦o.of cu�4ovo•ao ovv♦rtua��nir� r,cr-r.in rr�� ooi io <br /> ENVIRONMENTAL HEALTH UEPARTME* • VyV <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)469-3420 <br /> INVOICE <br /> Aocm,m D 0025009 <br /> —111 <br /> 1,1t 1 `�� AR <br /> F FA0014702 <br /> LUMEWWWOMMOMME <br /> oat.PmteO 1212042007 <br /> DIAZ,JORGE JR RE : COALCOMAN AUTO REPAIR <br /> COALCOMAN AUTO REPAIR 1042 S SINCLAIR AVE <br /> 1042 8 SINCLAIR AVE STOCKTON,CA 95215 <br /> STOCKTON,CA 95215 <br /> OWNER : DIAZ,JORGE JR <br /> Gale Health Amount <br /> Proprem Oesniplloo <br /> ImoloaM IN0167112—Date of lrnoics: 10/2311007 ��IR�A�IILIAIIIl�lA91N01�1� � �1�� <br /> 5 <br /> 1023/2007 224 2007 HAZMAT FIE PLUS Z YEARS BACK BILLING 300.00 f 30.00 <br /> 1211572007 9967 Hn Mat Program Penalty Fere <br /> 7ofel for ltaa eleol0e f 330.00 <br /> Prymem Due Data 11(2211007 <br /> TOTAL DUE this SKI"Period ; 330.00 <br /> (' ��y <br /> Delinquent Charges <br /> wilt be forwarded tc <br /> OOLLECTIONS <br /> in 30 days- <br /> Plesse make Checks PAYABLE to: 'EHD' – Return a Copy of This STATEMENT with Your PAYMENT <br /> For all SERVICE FM <br /> will be added to all Permit Fees For OES l HMMP Fees Pamtties will be added E the Rata of to% <br /> 1M Rete of 400%d the Base Fee PenaMks wilt be added at the Rat•of 10X <br /> �Days eher tlie pw p� e5 Oeys after Me imDlce Dece 60 Days after ate Imrelce Dais and eaM 30 Day9 thereafter <br /> 5254.rpt <br />