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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTAW <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 a <br /> RE�EIVEt�°° <br /> INVOICE I unt ID AR0024995 <br /> ["� <br /> Facility ID FAO 014688 <br /> APR 2 .3 2006 <br /> bAiv juAuuiN t;uuN Pete Printed 3!2612008 <br /> OFFICE OF EMERGENCY SERVIGM <br /> DAN'S AUTO REPAIR RE : DAN'S AUTO REPAIR <br /> 1533 S STOCKTON ST 1633 S STOCKTON ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : DAN HOUSTON <br /> Date Health <br /> Program Description Amount <br /> Invoke# IN0171793--Date of Invoice: 11251208 IIII[Il IIE�If III Illy f l i Ilill 111111111111111111111111111111 IN 1111111111 IN 1111 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 100.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> Total for this Irrvotce $ 134.00 <br /> Payment Date Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 134.00 <br /> F4 A, Fj U E <br /> Delinquent" changes <br /> ,gii,j he forwarded to' <br /> r~ 30 days- <br /> Please <br /> aysPlease 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 1 HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the(tate 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 />