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5AN JVAt4UIN WUN I Y C `, Page 3 <br /> ENVIRONMENTAL HEALTH DEPARTM RECEIVED <br /> ED . <br /> 600 E MAIN STREET vs <br /> STOCKTON, CA 95202 APR 2 0 2009 <br /> Phone: (209)468-3420 <br /> SAN JOAQU)N COUNTY AR0024995 <br /> NVCICEFiCS OF EMERGENCY SERVECES Accacnt ID <br /> a Facility ID FA0014688 <br /> G <br /> Date Printed 3/25/2009 <br /> DAN HOUSTON RE : DAN'S AUTO REPAIR <br /> DAN'S AUTO REPAIR 1533 S STOCKTON ST <br /> 1533 S STOCKTON ST LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : DAN HOUSTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0185646—Date of Invoice: 112912009 I IIIIIII Illlll 111 VIII VIII lull VIII Illll VIII VIII lulIIIIII Illi Illlll11111Illlllll <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 100.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> Total for thislnvoice $ 134.00 <br /> Payment Due Date 2128!2009 <br /> TOTAL DUE this Billing Period $ 134.00 <br /> 1, <br /> Delinquent Charges <br /> will he forwarded t® <br /> C®LL Eur 'IONS <br /> in 30 days. �. <br /> Please make Checks PAYABLE to: 'EH D' Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES!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 />