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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMO Page 1 <br /> r <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 952020 <br /> Phone: (209) 468-3420 AV J 0100? <br /> INVOICE - AccountlD FAR0016152 <br /> Facility ID FA0009152 <br /> LOMMOMMMMMEM <br /> Date Printed 1/26/2007 <br /> ASSOCIATED TRACTOR SVC INC RE : ASSOCIATED TRACTOR SVC INC <br /> 1323 W CHARTER WAY 1323 W CHARTER WAY <br /> STOCKTON, CA 95206-1110 STOCKTON, CA 95206-1120 <br /> OWNER : TOM BENTZ <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND156450---Date of Invoice: 1/25/2007 IIIIIIIIIVIIVIIVIIIIIIIIVIVIIIVIIVII//IIIIII IIIIIIIIIIIII <br /> 1/25/2007 2220 SM HW GEN<5 TONSNR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 360.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice I $ 590.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ <br /> �L9O <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 3 2007 <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 />