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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTM— 'T <br />304 E'-VEBER AVE.- 3Rb FLOOR <br />S;'OCKTON, 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 AR0022800 <br />Facility ID FA0013644 <br />Date Printed 3/27/200 <br />Date Health <br />Program Description Amount <br />Invoice # IN0104166 --- Date of Invoice : 2/27/2003 <br />2/27/2003 2220 SM HW GEN <5 TONS/YR <br />2/27/2003 2244 2003 HMMP Annual Fee <br />2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />PENALTY OWING; <br />$ <br />200.00 <br />$ <br />85.00 <br />$ <br />17.50 <br />Total for this Invoicel $ <br />302.50 <br />Payment Due Date <br />3/29/2003 <br />TOTAL DUE this Billing Period $ 302.50 <br />PAYMENT <br />RECEIVED <br />APR 2 4 2003 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br />3enalties 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.ipt <br />