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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEI . Page 1 <br /> 304 E WEBER AVE.-3RD FLOOR _ I p� � <br /> STOCKTON, CA 95202 ' J ED- <br /> Phone: (209)468-3420 <br /> J U W 2006 <br /> INVOICE 6AN JUAuU1N UUUN I Y Account[D AR0020299 <br /> 4 � GFffGE OF EMER�EfuGySERYfCES <br /> FacilityID FA0012442 <br /> Date printed 5/23/2005 <br /> f COMPLETE AUTO BODY& PAINT RE : COMPLETE AUTO BODY& PAINT <br /> 335 S WETMORE ST#5 335 S WETMORE ST <br /> 4 MANTECA, CA 95337-5700 MANTECA, CA 95337 <br /> OWNER . COMPLETE AUTO BODY& PAINT <br /> Date Health <br /> Program Description J Amount <br /> Invoice# IN0143188---Date of Invoice: 1/27/2006 Illllllllllll�lllllllllllllllllllllilllllllllllllllllilllllllllllllllllllllllllllllll <br /> 1/27/2006 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2006 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> 4/15/2006 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Involve $ 721.00 <br /> PAST DUE <br /> TOTAL DUE this Billing Periodl <br /> 721.00 <br /> t - <br /> Please make Checks PAYABLE to: 'EHD' Return a Copy of This STATEME=NT 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 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 />