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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART11i <br />600 E MAIN STREET „ <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />SALAZAR'S QUALITY TRUCK WORKS <br />PO BOX 8236 <br />STOCKTON. CA 95208-0236 <br />I <br />Page 1 <br />Account ID <br />AR0026869 <br />LMMMMOOMMMMA <br />Facility ID <br />FA0015569 <br />Date Printed <br />2/28/2008 <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 />Program Description Amount <br />Invoice # IN0171985 — Date of Invoice : 112512008 <br />1/25/2008 2220 SM HW GEN <5 TONSNR <br />1/25/2008 2244 2008 HAZMAT FEE <br />1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />51 k <br />.F ONS; ��OIlf <br />IIIIIIIIIII III VIII VIII VIIIVII VIII VIII VIII VIIIIIIIIIIIIIIIIIIVIIIIIIIIIII <br />$ <br />213.00 <br />$ <br />255.00 <br />$ <br />24.00 <br />Total for this Involcel $ <br />492.00 <br />Payment Due Date <br />2/2712008 <br />TOTAL DUE this Billing Period $ 492.00 <br />30)0'> 2 w <br />a LA 9S g 32 <br />�,\,;F � <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 I 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 />;254 rpt <br />