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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM�yT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020227 <br /> Facility ID FA0012373 <br /> Date Printed 3/26/2008 <br /> MOBIL OIL 'N LUBE RE : MOBIL OIL 'N LUBE <br /> 700 TAHOE DR 1108 BLACK DIAMOND WAY#B <br /> LODI, CA 95242-2157 LODI, CA 95240 <br /> OWNER : MOBIL OIL 'N LUBE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171902--Date of Invoice: 1125/2008 11111111 IIIIII III VIII VIII VIII ILII IIIII IIIII IIIII 11011111111111101111 <br /> 1/25/2008 2221 USED OIL ONLY-<5 TONS/YR $ 54.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 78.00 <br /> Payment Due Date 2127/2008 <br /> TOTAL DUE this Billing Period $ '78.00 <br /> RECE 11 EV <br /> f Je APR 12008 <br /> V� <br /> tr ENVIRONMENT HEALTH <br /> ��+y� � X11_ I PERMIT/SERVICES <br /> P�° Y L: <br /> N!E PC+YN'Et>1T Tv <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 OES/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 />