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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN, <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR00 88 224 <br /> Facility ID F 00 116201 <br /> Date Printed 4/24/2014 <br /> GARCIA'S AUTO REPAIR & TOW RE : GARCIAS AUTO REPAIR & TOW <br /> 982 E WATERLOO RD 982 E WATERLOO RD <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : GARCIA LUNA EVARISTO <br /> Health <br /> nate Program Description Amou <br /> Invoice# IN0249123---Date of Invoice: 1/30/2014 IIIIIIIIVIIVIVII VIIVII VIII VIII VIIIVIIIIIIIIIIII IIIIIIIIIIIII <br /> 1/30/2014 1920 HMBP-Common Materials $ 85.00 <br /> 1/30/2014 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/30/2014 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 35.00 <br /> 4/15/2014 9987 Haz Mal Program Penalty Fee $ 8.50 <br /> 4/15/2014 9994 PERMIT FEE PENALTY $ 213.00 <br /> Tota l for th i s l nvoice $ 554.50 <br /> Payment Due Date 3/112014 <br /> TOTAL DUE this Billing Period $ 554.50 <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 HMBP 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 /> _`1 rpt <br />