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• ��•+�.rutry t UUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 600 E MAIN STREET T Page 1 <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE <br /> Account ID F AR0022739 <br /> Facility ID F FA0013605 <br /> Date Printed F 1/28/2008 <br /> TRACY AUTO GROUP LLC MMUNNOMMMOMME <br /> TRACY CHRYSLER JEEP DODGE RE : TRACY CHRYSLER JEEP DODGE <br /> PO BOX 378003 3460 NAGLEE RD <br /> TRACY, CA 95378 TRACY, CA 95376 <br /> OWNER : TRACY AUTO GROUP LLC <br /> Date Health <br /> Program Description <br /> Invoice# IN0170732•-- Amount <br /> Date of Invoice; 1/25/2008 <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR III Hill Hill 11111111111111111111111IN111Hill N11111 <br /> 1/25/2008 2244 2008 HAZMAT FEE <br /> 1/25/2008 2399 $ 213.00 <br /> UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 315.00 <br /> $ 24.00 <br /> Total for this Invoice $ 1 552.00 <br /> Payment Due Date -2/27/2008 <br /> TOTAL DUE this Billing Period <br /> $ Z.00 <br /> P� �pp9 <br /> poo"', <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 <br /> at the Rate of 100%of the Base Fee Penalties will be added atr DES the Rate of 10% Penalties will be added at the Rate of 10 <br /> Fees For all SERVICE FEES <br /> 30 Days after the Due Date 45 Days after the Invoice Date <br /> 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt <br />