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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMFO • <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID A 0-01 9994 <br /> LMMUMMMMMMMMM <br /> Facility ID FA00 00994 <br /> Date Printed 3/6/2006 <br /> B&B TIRE & SERVICE RE : B&B TIRE & SERVICE <br /> 600 W LOCKEFORD ST 600 W LOCKEFORD ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : L BRET DEBERRY <br /> Date Health <br /> Program Description Amount <br /> Invoice IN0143142---Date of Invoice: 1/27/2006 111111111111111111111111 IN <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 130.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 354.00 <br /> Payment Due Date 311/209, 1 <br /> �, II <br /> TOTAL DUE this Billing Period $ 354.00 <br /> 1e <br /> 200E <br /> o:Wv AOUIn 7 COUNTY <br /> ENV'&lONMENTAL <br /> HEALTH DEPARTY Enr <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 /> 5254rpt <br />