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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTME# <br />600 E MAIN STREET <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 />a 11 Page 1 <br />Account ID -. ARR0022793 <br />�.. <br />Facility ID FA0013637 3 <br />''gym, rrir.4R�'u2:,°�✓7C.Lti'tG0',' <br />Date Printed ? _ 1/28/2008 <br />RE: UNITED AUTO REPAIR <br />400 N EL DORADO ST <br />STOCKTON, CA 95202 <br />OWNER: NGUYEN, JOSEPH <br />Date Health <br />Program Description Amount <br />Invoice # IN0170790 --- Date of Invoice : 1/25/2008 <br />1/25/2008 2220 SM HW GEN <5 TONS/YR <br />1/25/2008 2244 2008 HAZMAT FEE <br />1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1 1111111 111111 III VIII VIII IIIA VIII VIII VIII VIII VIII VIII IIII <br />$ <br />111111 VIII IIII IIII <br />213.00 <br />$ <br />85.00 <br />$ <br />24.00 <br />Total for this Invoice $ 322.00 <br />Payment Due Date 2/27/2008 <br />TOTAL DUE this Billing Period $ 3 <br />LIZ <br />PAYMENT <br />RECEI\/Fn <br />F E B 8 2008 <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 CIES / 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 />52i4_rpt <br />