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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIWT Page 1 <br /> 364 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0 003432 <br /> Facility ID F FA0003844 <br /> lammommomommoomm <br /> Date Printed F 2/25/2005 <br /> CITY OF MANTECA -VEHICLE MAINTENAN RE : CITY OF MANTECA -VEHICLE MAINTENAN <br /> 1001 W CENTER ST 205 E WETMORE ST <br /> MANTECA, CA 95337 MANTECA, CA 95337 <br /> OWNER : MANTECA, CITY OF <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128567—Date of Invoice: 1/24/2005 IIiII IIIIII III VIII VIII VIII VIII VIII VIII(IIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 345.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 569.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 569.00 <br /> EGA v�0 <br /> SP ENv\POt1,Eq MEt,1T <br /> HASH D <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 /> 5255.rpt <br />