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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM- <br /> 304 E WEBER AVE -3RD FLOOR ..r' <br /> STOCKTON, CA 9502 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025793 <br /> LOMMMMMMMMENNA <br /> Facility ID F FA0015065 <br /> Date Printed 1/26/2007 <br /> LEENEENNOMOMMMES <br /> TOM NEWHALL RE : TOM NEWHALL BOAT REPAIR <br /> TOM NEWHALL BOAT REPAIR 8090 N RIO BLANCO RD <br /> <br /> <br /> OWNER : NEWHALL, TOM <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0158296---Date of Invoice: 1/25/2007 I IIII IIIIII III VIII VIII VIII IIIII IIIII IIIII VIII VIII VIII IIII IIIIII IIIII IIII IIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 230.00 <br /> Payment Due Date 2/25/2007''� <br /> TOTAL DUE this Billing Period $ 230.00 j <br /> PAYMET <br /> 63E EIVED <br /> FEB o 2 2ooi <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> i'1EALTH 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 DES I 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 /> _1J rpi <br />