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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARDD28024 <br /> Facility ID FA00 6-06 <br /> Date Pnnted1/26/2007 <br /> KHAN, KASHIF N RE : VALLEY SMOG & REPAIR <br /> VALLEY SMOG & REPAIR 26 N CHEROKEE LN STE C <br /> 26 N CHEROKEE LN STE C LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : KHAN, KASHIF N <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0158451 ---Date of Invoice: 1/25/2007 VIII IIIIIIIIIVIIIVIII VIIIVIIIVIIIVIIIVIIIVIII VIIIIIIIVIII 1111111111111 <br /> 1/25/2007 2220 SM HVJ GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 85.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 315.00 <br /> Payment Due Date 2l <br /> TOTAL DUE this Billing Period ; 315.0 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 2 2001' <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 OES 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 />