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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM-`IT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0025022 <br /> LMMMMMMMOMMA <br /> Facility ID F FA0014715 <br /> LEEMENNNMNMEMA <br /> Date Printed 1/30/2006 <br /> Lummoommommonomm <br /> OLYMPIC TUNE RE : OLYMPIC TUNE <br /> 1026 BLACK DIAMOND WAY 1026 BLACK DIAMOND WAY <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LOUIE J SOARES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0144429—Date of Invoice: 1127/2006 IIIIIIIIIIIIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIII/IIIIIIIIIIIoil IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 300.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date 3W27 06 <br /> TOTAL DUE this Billing Period $ 524.0 <br /> RECE-IVI=D <br /> FEB 2 2 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <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 />