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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME"T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0025793 <br /> Facility ID FA0015065 <br /> Date Printed F 1/29/2009 <br /> lummommummmoma <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 <br /> Amount <br /> Invoice# IN0185726---Date of Invoice: 1/29/2009 IIIIIIIIIIIIII 11111 HE <br /> VIIIIIIIIIIIII IIIIIIIIIIVIIIII IIIIII IIIIIIIIIIIII <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR S 213.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for[his Invoice $ 237.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 237.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 1 2009 <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 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 />