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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM T <br /> 304 E WEBER AVE -3RD FLOOR - <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID ARoo2o22s <br /> Facility 10 FA0012375 <br /> Date Printed 4/26/2004 <br /> LEMMMMMOMEMEMIll <br /> JONES AUTOMOTIVE RE : JONES AUTOMOTIVE <br /> 192 BUTTON AVE 192 BUTTON AVE <br /> MANTECA, CA 95336 MANTECA,CA 95336 <br /> OWNER : JONES, GREGORY <br /> Date Health <br /> Program Descripiion Amount <br /> Invoice# IN0116167—Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 115.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.W <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 11.50 <br /> 4/15/2004 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 550.50 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 550.50 <br /> PAYMENT <br /> POA <br /> /-XST DUE ! RECEIVED <br /> WE WOULD APPRECIATE YOUR MAY 19 2004 <br /> PAYMENT TODAY! SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> A TGf:tltth <br /> YOUN REALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE r.:COUNTS <br /> ARE PAID IN FULL <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/HUMP 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 /> 5255 rpt <br />