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JAN JUAUiUIN GUUNI Y <br /> ENVIRONMENTAL HEALTH DEPART!"NIT Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0016750 <br /> Facility ID F FA0009750 <br /> Date Printed F 1/24/2005 <br /> LOWEEMEMUMMONWAMM <br /> ART'S AUTO WRECKING INC RE : ART'S AUTO WRECKING INC <br /> 4223 CLARK DR 4223 CLARK DR <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : ARTHUR C GUSTAFSON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129290---Date of Invoice : 112412005 IIIIII II VIVIIVIIIVIVIIV VIVA I IIIIII IIIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 524.00 <br /> Payment Due Date 212312005 <br /> TOTAL DUE this Billing Period $ 524.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 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 OES/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 />