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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMO <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />BIER, WAYNE <br />TRIUMPHS ONLY <br /> <br /> <br />0 Page 1 <br />Account ID <br />AR0017158 <br />Facility ID <br />FA0010158 <br />Date Printed <br />F 1/29/2009 <br />RE: TRIUMPHS ONLY <br />1881 E MARKET ST <br />STOCKTON, CA 95205 <br />OWNER: BIER, WAYNE <br />Date Health <br />Program Description Amount <br />Invoice # IN0184334 --- Date of Invoice : 1/29/2009 <br />1/29/2009 2220 SM HW GEN <5 TONS/YR <br />1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />IIIIIIIIIIIIIIIVIIVIIIVIIIVIIIVIIIVII VIIIVIIIVIIIIIIIII VIIIIIIII <br />$ 213.00 <br />$ 24.00 <br />Total for this Invoicel $ 237.00 <br />Payment Due Date 2/28/2009 <br />TOTAL DUE this Billing Period $ 237.00 <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 />i254.rpt <br />