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bAN JUAVUIN t.:VUN I Y Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM'""T <br /> 304 E WEBER AVE - 3RD FLOORSTOCK _ <br /> Phone: ON,209 46 95202 COPY <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR00164 3— <br /> LOMMMMOMMMMMONN <br /> Facility ID FA0009463 <br /> Date Printed 1/26/2007 <br /> Loommommommomond <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 /> Date Health <br /> L Program Description Amount <br /> Invoice# IN0166573--Date of Invoice: 1125/2007 �� ���� ���������������������������11111111111111111111 oil IIIIII 1111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 130.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 360.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 360.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 6 toot <br /> $AN 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/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 />