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ENVIRONMENTAL HEALTH DEPARTMO Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 COPY <br /> INVOICE Account ID AR0017389 <br /> Facility ID FA0010389 <br /> Date Printed IF 1/26/2007 <br /> WESTERN RADIATOR SVC OF LODI RE : WESTERN RADIATOR SVC OF LODI <br /> 1780 E ROOSEVELT ST 12 S CLUFF AVE <br /> STOCKTON, CA 95205 LODI, CA 95240 <br /> OWNER : TERALT INC <br /> Date Health Amounf <br /> D,nn. De£crintlnn <br /> Invoice# IN0156865.—Date of Invoice: 1/25/2007 p1111111111111IN1111111111111111111 <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 255.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 485.00 <br /> Payment Due Date 2125120007 <br /> 1 <br /> TOTAL DUE this Billing Period $ 485.00 <br /> PAYME <br /> RECEIVED <br /> FEB 262001 <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 /> 5254.rpt <br />