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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMW • Page 1 <br /> 600E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR 00162 77 <br /> Facility ID FA0009287 <br /> Date Pnnted 1/29/2009 <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 NIEMAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184049---Date of Invoice: 1/29/2009 I II II II I I VII VII IIII VII III I III V I VII V II I II VIII 1111111111111 <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 315.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 552.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 52.00 <br /> qY <br /> RFCE/VSD <br /> FEB, 1 12009 <br /> S�UO' <br /> ; <br /> QU/ <br /> HrgL7HoPAR EL <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 />