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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPAR- -NT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account AR0016463 <br /> LOOMMMEOMMMMIll <br /> Facility ID FA0009463 <br /> Date Pnnted 1/24/2005 <br /> LUMENEWORNMEMMMA <br /> AUTOMOTIVE DIESEL SVC & GEN REPAIR RE : AUTOMOTIVE DIESEL SVC & GEN REPAIR <br /> 833 S COMMERCE ST 833 S COMMERCE ST <br /> STOCKTON, CA 95206-1276 STOCKTON, CA 95206 <br /> OWNER : PANAGOPOULOS,WILLIAM <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0129'135—Date of Invoice: 1/24/2005 IIIIIIIIIII VIIILII VIIIVIVIIIVIIIVIIIVII VIIIIIIIIIIIVIII IIII IIII <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 Invoice $ 364.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 354.00354.00 <br /> I <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 5 2005 <br /> 3AN jOAQUIN COUNTY <br /> ENVOONMENTAL <br /> HEA.T!' 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 /> 5255.rpt <br />