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JAN JUAWUIN L;UUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMr"T Page 1 <br /> 304 E WEBER AVE -3RD FLOORSTOCK _ <br /> Phone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account 10 1 AR0016714 <br /> Facility ID F F—AO009714 <br /> Date Printed F 1/30/2006 <br /> AUTOMEISTER RE : AUTOMEISTER <br /> 4290 E CHEROKEE RD 4290 E CHEROKEE RD <br /> STOCKTON, CA 95215-2219 STOCKTON, CA 95215 <br /> OWNER : RONLY L ALCORIZA <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0142801 ---Date of Invoice: 1/27/2006 IIIIIIIIlI1IlIIll lull lull VIII VIII VIII IIIIIIIIII 111111111 IN 111111 IIIA IIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $II 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 130.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 354.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ <br /> h1AR 12006 <br /> SAN JOAOUIP:COUNT/ <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMEPff <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 />