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OMI-4'PumWullm t'vury I r Page 1 <br /> ENWRONMENTAL HEALTH DEPARTM� • 9 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKPhone: ON,209 46 3 202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016152 <br /> Facility ID FA0009152 <br /> Date Printed 1/30/2006 <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# IN0142594--Date of Invoice: 1127/2006 IIIIIIIIIIIIIIIVIIVIIVIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 360.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthe Invoice $ 584.00 <br /> Payment Due Date 3/112006 <br /> TOTAL DUE this Billing Period $ 584.00 <br /> RECIFNT <br /> VES <br /> F EB o 3 zoos <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH OEPARTMENT <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 />