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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTM 'T <br />304 E WEBER A%IE-- 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />GASOLINE ALLEY <br />820 BECKMAN RD #3 <br />LODI, CA 95240-3147 <br />RE: GASOLINE ALLEY <br />720 E LODI AVE <br />LODI, CA 95240 <br />OWNER: PRICE, TOM <br />Page 1 <br />Account ID <br />AR0022800 <br />Facility ID <br />FA0013644 <br />®w�■moi <br />Date Printed <br />4/24/2003 <br />Date Health <br />Program Description Amount <br />Invoice # IN0104166 --- Date of Invoice : 2/27/2003 <br />2/27/2003 <br />2220 SM HW GEN <5 TONS/YR <br />$ <br />200.00 <br />2/27/2003 <br />2244 2003 HAZMAT FEE <br />$ <br />85.00 <br />2/27/2003 <br />2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />$ <br />17.50 <br />4/15/2003 <br />9987 Haz Mat Program Penalty Fee <br />$ <br />8.50 <br />4/24/2003 <br />9999 PAYMENT <br />($ <br />302.50) <br />Total for this Invoice <br />$ <br />8.50 <br />Payment Due Date <br />3/29/2003 <br />A`)7F-I�TION <br />,'OUR HEALTH PERMIT FOR <br />TOTAL DUE this Billing Period <br />$ <br />8.50 <br />THE CURRENT YEAR <br />'NILL NOT BE ISSUED UNTIL <br />PAST OUE AMOUNTS <br />AHL PAID IN FULL <br />r <br />OV'] <br />RECEIVEC <br />MAY 2 9 2003 <br />SAN JOAQU{{q COUNTY <br />PLIKIC HEALTH SERVICES <br />ENVIRONHHml4 'trfi;rilnIVISION <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 />5255.rpt <br />