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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTN 'T <br /> 600 E MAIN STREET - COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0032529 <br /> LVEMMEMMMEMMIll <br /> Facility ID FA0018425 <br /> LMMMONOMMMMIll <br /> Date Printed 1/29/2009 <br /> LVEMENNEEMMMEMM <br /> REHAN ANWAR RE : VALLEY SMOG & REPAIR <br /> VALLEY SMOG &REPAIR 923 S CHEROKEE LN <br /> 923 S CHEROKEE LN LODI, CA 95240 <br /> LODI, CA 95240 <br /> OWNER : ANWAR, REHAN/ KHAN, KASHIF <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0187022--Date of Invoice : 112912009 IIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIi�VIII VIII VIII VIII VIII IIIIIIIIII VIII IIIIIIII <br /> 1/29/2009 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 100.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 337.00 <br /> Payment Due Date 212812009 <br /> TOTAL DUE this Billing Period <br /> REC t <br /> �g 0 9 2039 <br /> � -AQUIN COUNTY <br /> �? EPTEpWNT <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 1 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 />