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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART' VT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR 1' <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD —AR 60 00223 <br /> LMMOMMMEMOOMM <br /> Facility ID FA0012369 <br /> LMEMMMMMMEENNNM <br /> Date Printed 3/27/2006 <br /> GREG & SUSAN LOOMIS RE : BRICKYARD AUTOMOTIVE <br /> BRICKYARD AUTOMOTIVE 820 S BECKMAN RD STE 3B <br /> <br /> <br /> OWNER : LOOMIS, GREG & SUSAN <br /> Date Health <br /> Program Description Amount <br /> Invoice It IN0144631 --Date of Invoice: 1/27/2006 11111111111111111111[111 IN <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 224.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Periodi $ 224.00 <br /> APR 04 2U; ; <br /> SAN JOAQUIrI COUr,Ty <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Y <br /> /O <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 /> :254 rpt <br />