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SAN JOAQUIN COLIN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF" <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STO 95202 COPY <br /> Phone:e: (209(209) 46 468-3420 <br /> INVOICE Account ID AR0016040 <br /> LMMMMOMOMMONA <br /> Facility ID FA0009040 <br /> Date Printed F 2/28/2007 <br /> BIG O TIRES#30 RE : BIG O TIRES #30 <br /> 302 N CHEROKEE LN 302 N CHEROKEE LN <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : DENNIS CUNNINGTON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156399---Date of Invoice: 1/25/2007 1MIT 1111111111111111111111111111111111111111p111111111111INIIIIII IIIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE S 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 330.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 330.00 <br /> SCCNU NC��CE <br /> PAYMENT <br /> RECEIVED <br /> MAR 0 5 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 />