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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 AR 00 6-828 <br /> Facility ID F FA00 99828 <br /> LWOMMMMMEMENIIII <br /> Date Printed 1/30!2006 <br /> PISKEL'S AUTO AIR RAD & CELLUL RE : PISKEL'S AUTO AIR RAD & CELLULAR <br /> 264 BUTTON AVE 264 BUTTON AVE <br /> MANTECA, CA 95336-8599 MANTECA, CA 95336 <br /> OWNER : RICHARD D AYRES <br /> Health <br /> Date Program Description Amount <br /> Invoice If IN0142836--Date of Invoice: 112712006 I III I IIIIII III/IIII/IIII VIII VIII/IIII/IIII/IIII VIII VIII IIII IIIIII VIII IIII 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 311/20006 <br /> TOTAL DUE this Billing Period $ /52400 � <br /> �� F ./r-D <br /> MAH 1 2 Zoos <br /> SAN JO:±O'JIN COUNTY <br /> ENW,GNMENTAL <br /> HEALTH nFPART.MENT <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 I 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 />