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JHry JUHt.IUIN UUUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPART!"' <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE AccountID AR0016240 <br /> Facility ID FA0009240 <br /> Date Printed F 1/26/2007 <br /> LONEMENNOMMONIN <br /> PATEL, DIMPLE & HINA RE : ELITE CLEANERS <br /> ELITE CLEANERS 3201 W BENJAMIN HOLT DR STE 119 <br /> 3201 W BENJAMIN HOLT DR#119 STOCKTON, CA 95219 <br /> STOCKTON, CA 95219 <br /> OWNER : PATEL, DIMPLE & HINA <br /> Health <br /> Date Program Description _ _. Amount <br /> Invoice# IN0156481 --Date of Invoice: 112512007 IIIIIII 111111 III VIII VIII VIII VIII VIIIIIIIIIIII VIII VIII IIIIIIIIII IIIIIIIIIIIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 255.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 485.00 <br /> Payment Due Date 2�2 ='07 <br /> TOTAL DUE this Billing Period $ 485.0 <br /> RPOEIVEv <br /> FEB 2 7 zooT o� <br /> SAN JOAQUIN COUNTYENVIRONMENTAL <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 />