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SAN JOAQUIN COUNTY <br /> ENVIF.JPae 1NMtNTAL HEALTH DEPARTM 9 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICEAccount ID AR0LMMMMEMMM <br /> MA <br /> Facility ID F FA0018545 <br /> Loommmmmmmoom <br /> Date Printed 9/11/2007 <br /> loommomommmummm <br /> CHAN, DAVID RE : PACIFIC SMOG &TUNE SHOP <br /> PACIFIC SMOG &TUNE SHOP 7711 THORNTON RD <br /> 7711 THORNTON RD STOCKTON, CA 95207 <br /> STOCKTON, CA 95207 <br /> OWNER : CHAN, DAVID <br /> mil - iz �l <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0166011 ---Date of Invoice : 9/11/2007 1111111111111111111111111111 HE IIII IIIII IIIII IIII 1111111111111111111 <br /> 9/11/2007 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 9/15/2007 9996 APPLY DISCOUNT ($ 106.50) <br /> Total for this Invoice I $ 106.50 <br /> Payment Due Date 10/11/2007 <br /> TOTAL DUE this Billing Period $ 106.50 <br /> RE FE Fn <br /> OCT 12 200 <br /> S�N\IpONIMENTAL <br /> HEPJ-TH DEPARTMENT <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 DES 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 /> 5254.rpt <br />