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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART *T <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) j468-3420 <br />INVOICE <br />RALEY'S <br />RALEY'S FUEL STATION #356 <br /> <br /> <br />aPage 1 <br />Account ID AR0029109 <br />Facility ID FA0016523 <br />Date Pnnted F 6/7/2007 <br />RE: RALEY'S FUEL STATION #356 <br />4255 E MORADA LN <br />STOCKTON, CA 95212 <br />OWNER: RALEYS <br />Date Health <br />Program Description Amount <br />Invoice # IN0163689 -- Date of Invoice : 6/7/2007 <br />6/7/2007 2220 SM HW GEN <5 TONS/YR <br />6/15/2007 9996 APPLY DISCOUNT <br />Please make Checks PAYABLE to: 'EHD' — <br />$ <br />206.00 <br />($ <br />103.00) <br />Total for this Invoice $ <br />103.00 <br />Payment Due Date <br />7!1/2007 <br />TOTAL DUE this Billing Period $ 103.00 <br />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 />