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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMr T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0024504 <br /> LUMMOMMOMEMEM <br /> Facility ID FA0014424 <br /> Date Printed 2/24/2006 <br /> TRACY VW RE : TRACY VW <br /> 2605 AUTO PLAZA DR 2605 AUTO PLAZA DR <br /> TRACY, CA 95376 TRACY, CA 95376 <br /> OWNER : ISSAC SERGIS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143648---Date of Invoice: 1127/2006 111111111 IN <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 115.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoicel $ 339.00 <br /> Payment Due Date 3/112006.. <br /> TOTAL DUE this Billing Period $ 339.00 <br /> P.EC .!`i <br /> FEB 2 4 <br /> SAN JOAQUIN -LUNT% <br /> ENVIRONMENd Al- <br /> HEALTH <br /> LHEALTH 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 />