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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTA' 'IT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR - <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR00-16-7 1-4 <br /> LUMMMENOMEMMA <br /> Facility ID FA0009714 <br /> Date Printed F--1/-24—/200-5 <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 Amount <br /> Invoice# IN0129270--Date of Invoice: 1/2412005 IIIIIIIIIIIII'II VIIIVIII VIII VIII VIII VIIIIIIIIIIIII IuIIIIII 111111 IIIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 130.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this lnvolce $ 364.00 <br /> Payment Due Date ',2123a <br /> TOTAL DUE this Billing Period $ 354.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR - 9 2005 <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 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 /> 52»rpt <br />