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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTN T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />SALAZAR'S QUALITY TRUCK WORKS <br />4720 CAYMAN CT <br />STOCKTON, CA 95210 <br />Page 1 <br />Account ID F AR0026869 <br />Facility ID F FA0015569 <br />O� Date Printed F 4/4/2005 <br />INOMMENERNEWOOM <br />RE: SALAZARS QUALITY TRUCK WORKS <br />1622 E ALPINE AVE <br />STOCKTON, CA 95205-2525 <br />OWNER: SALAZARS QUALITY TRUCK WORKS <br />Date Health <br />Proqram Description Amount <br />Invoice # IN0131806 — Date of Invoice : 4/4/2005 <br />4/4/2005 2220 SM HW GEN <5 TONSNR <br />I IIIIIII IIIIII III VIII ILII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br />$ 200.00 <br />Total for this Invoice $ 200.00 <br />Payment Due Date 5/4/2005 <br />TOTAL DUE this Billing Period 1 $ 200.00 <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 />255.ryt <br />