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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPAR &T 304 Ee WEBER AVE - 3RD FLOOR STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICE UNITED AUTO REPAIR 400 N ELDORADO ST STOCKTON, CA 95202 • Page 'x "/ Account 1D AR0022793 Facility ID FA0013637 mmmmommod Date Printed 2/27/2003 RE: UNITED AUTO REPAIR 400 N EL DORADO ST STOCKTON, CA 95202 OWNER: NGUYEN, JOSEPH Date Health Program Description Amount Invoice # IN0104164 — Date of Invoice : 2/27/2003 2/27/2003 2220 SM HW GEN <5 TONS/YR 2/27/2003 2244 2003 HMMP Annual Fee 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 5255.rpt TOTAL DUE this Billing Period $ 302.50 RECEIVED VAR 19 2003 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRON AFNTN Hf.11 TH f11VISioN Please make Checks PAYABLE to: 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For all SERVICE FEES at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter $ 200.00 $ 85.00 $ 17.50 Total for this Invoice I $ 302.50 Payment Due Date 3/29/2003 TOTAL DUE this Billing Period $ 302.50 RECEIVED VAR 19 2003 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES ENVIRON AFNTN Hf.11 TH f11VISioN Please make Checks PAYABLE to: 'EHD' -- Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For all SERVICE FEES at the Rate of 100% of the Base Fee Penalties will be added at the Rate of 10% 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter