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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTN T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025410 <br /> Facility ID FA0014884 <br /> Date Printed 7/14/2004 <br /> r. <br /> MAIN ST MUFFLER RE : MAIN ST MUFFLER <br /> 3403 E MAIN ST STE C 3403 E MAIN ST STE C <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : EULALIA PENA <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0117562---Date of Invoice: 2/4/2004 11111111111111111 IIIE 111 IIE 11111 11111 11111 111 IIN IIE IN 111111 11111 11 IN <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 285.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> 3/30/2004 9999 PAYMENT ($ 227.50) <br /> Total for this Invoice $ 110.00 <br /> PAST DUE <br /> Invoice# IN0119081 ---Date of Invoice: 4/16/2004 11IM El E IIIE HE 11111 11111 11111 11111 11111 11111 1111�1111 11111�11111 1111 IN <br /> 4/16/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> Total for this Invoice $ 200.00 <br /> Payment Due Date 04 <br /> TOTAL DUE this Billing Period $ 310.00 <br /> 7 � <br /> PAYMENT <br /> RECEIVED l�s� <br /> JUL 14 2004 <br /> SAN JOAQUIN COLIN IY <br /> ENVIRONMENTAL <br /> HEALTH 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 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 /> 5255.rpt <br />