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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIV- "T Paye 1 <br /> 600E MAIN STREET — w COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD Lownwommmmma <br /> ARoo2a5is <br /> FacilitylD FAO014436 <br /> LOMMMOMMMMMMA <br /> Date Printed 1/28/2008 <br /> CABRAL, WILLIAM D RE : CABRAL WESTERN MOTORS <br /> CABRAL WESTERN MOTORS 1145 W YOSEMITE AVE <br /> 1145 W YOSEMITE AVE MANTECA, CA 95337 <br /> MANTECA, CA 95337 <br /> OWNER : CABRAL, WILLIAM D. <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0171003---Date of Invoice: 1/25/2008 IIIIIIIII VIIIIIIIIVIIIIIIIIIIIII VIIIIII IIIIII 111111111111 <br /> 1/25/2008 2227 GEN 5<25 TONS PERMIT $ 1,672.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 360.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,056.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 2,056.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 21 <br /> EN <br /> HEADUN <br /> H Do PART O L <br /> MENT <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 /> -2,4 mt <br />