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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMW Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE A=unt ID AR0031484 <br /> Facility ID FA0017951 <br /> Date Printed 1/29/2009 <br /> OLYMPIC TUNE/STREET RODS PLU RE : OLYMPIC TUNE/STREET RODS PLUS <br /> 400 N CLUFF AVE#A 400 N CLUFF AVE#A <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LOUIE J SOARES <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0186898---Date of Invoice: 112912009 11111 ME 11111111111111111111111111111 HII 1111 <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 145.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 382.00 <br /> Payment Due Date 2/281 <br /> TOTAL DUE this Billing Period $ 382.00 <br /> PAYM E T <br /> RECEIVED <br /> FEB 10 2009 <br /> SAN JOAQUIN COUNTY <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 DES/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 />