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SAN JOAQUIN COUNTY <br />ENWIRONMENTAL HEALTH DEPARTM—T <br />304'E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />NGUYEN, HIEN <br />N AUTO REPAIR <br />3403 E MAIN ST STE B <br />STOCKTON, CA 95205 <br />Page 1 <br />Account ID AR0026382 <br />Facility ID FA0015324 <br />urn v <br />Date Printed 1/30/2006' <br />RE: N AUTO REPAIR <br />3403 E MAIN ST STE B <br />STOCKTON, CA 95205 <br />OWNER: NGUYEN, HIEN <br />Date Health <br />Program Description Amount <br />Invoice # IN0144542 --- Date of Invoice : 1/27/2006 <br />1/27/2006 2220 SM HW GEN <5 TONS/YR <br />1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1111111 111111 III VIII IIIA IIIA VIII VIII VIII VIII VIII VIII 1111111111 IIIII IIII IIII <br />$ 200.00 <br />$ 24.00 <br />Total for this Invoice $ 224.00 <br />Payment Due Date 3/1/2006 <br />TOTAL DUE this Billing Period $ 224.00 <br />+�D <br />FEB 0 7 2Q06 <br />SAN OAQUIN COON <br />Ty <br />MENrAL <br />HEALTH D"PARMENr <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 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 thereafte <br />j2�4.rpt <br />