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SAN JOAQUIN COUNTY <br />ENVIKONMENTAL HEALTH DEPART <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />UNITED AUTO REPAIR <br />400 N EL DORADO ST <br />STOCKTON, CA 95202 <br />t <br />Page 1 <br />Account ID AR0022793 <br />Facility ID ? FA0013637 <br />Date Printed 2/5/2004 <br />RE: UNITED AUTO REPAIR <br />400 N EL DORADO ST <br />STOCKTON, CA 95202 <br />OWNER: NGUYEN, JOSEPH <br />Date Health <br />Fiugiarn Description <br />• <br />Amount <br />Invoice # IN0116337 --- Date of Invoice : 2/4/2004 <br />2/4/2004 2220 SM HW GEN <5 TONS/YR <br />2/4/2004 2244 2004 HAZMAT FEE <br />2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />TOTAL DUE this Billing Period $ 309.00 <br />PAYMEN-f <br />RECEIVED <br />FEB 2 5 2001 - <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 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.ipt <br />$ <br />200.00 <br />$ <br />85.00 <br />$ <br />24.00 <br />Total for this Invoice <br />$ <br />309.00 <br />Payment Due Date <br />3/6/2004 <br />TOTAL DUE this Billing Period $ 309.00 <br />PAYMEN-f <br />RECEIVED <br />FEB 2 5 2001 - <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 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.ipt <br />