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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTV "T <br /> 600 E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0025028 <br /> Facility ID FAO 114721 <br /> Date Printed 2/28/2008 <br /> Immommommommms <br /> TOM PRICE RE : GASOLINE ALLEY <br /> GASOLINE ALLEY 820 S BECKMAN RD STE 3A <br /> <br /> <br /> OWNER : PRICE,TOM <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171815—Date of Invoice: 1125/2008 IIIIIIIIIIIIII'IIIVIIIII'IVIIIVIIIVIIIVIIIVIIIVIIIIII1Il11111111111111111 <br /> 1/25/2008 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 85.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 322.00 <br /> Payment Due Date 2/2712008 <br /> A p . ppp���rrr ,... <br /> �ECON � ,(� OTIC�r TOTAL DUE this Billing Period �: <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 4 2008 <br /> SAN 30 QUIN COUNTY <br /> HEALTH 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 />