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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART <br /> 3G4 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0016287 <br /> Facility ID FA0009287 <br /> LNIONMEMMMEMINNNA <br /> Date Printed 2/27/2003 <br /> NORTH STOCKTON AUTO SVC INC RE : NORTH STOCKTON AUTO SVC INC <br /> 8709 DAVIS RD 8709 N DAVIS RD <br /> STOCKTON, CA 95209 STOCKTON, CA 95209 <br /> OWNER : EDWARD NIEMANN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103399---Date of Invoice: 212712003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 315.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoicel $ 532.50 <br /> Payment Due Date 3/2912003 <br /> i <br /> TOTAL DUE this Billing Period —532.50 <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 8 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> cry�,ianNMENTAL HFAI TH DIVISION <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />