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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF` Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0016949 <br /> Facility ID FA0009949 <br /> Date Printed 5/25/2005 <br /> PRO-TOUCH AUTOMOTIVE RE : PRO-TOUCH AUTOMOTIVE <br /> 255 MOFFAT BLVD 255 MOFFAT BLVD <br /> MANTECA, CA 95336-5742 MANTECA, CA 95336-5720 <br /> OWNER : CLIFFORD L PEERSON <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128151 ---Date of Invoice: 1/24/2005 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 100.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2005 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total forthis Invoice $ 534.00 <br /> PASTD U PAST DUE <br /> TOTAL DUE this Billing Period $ 534.00 <br /> Delinquent charges <br /> Will be forwarded to <br /> COLLECTIONS <br /> in 30 days. ATTENTION <br /> Youn HEALTH PERMIT FOR <br /> THE CURRENT YEAR <br /> WILL NOT BE ISSUED UNTIL <br /> PAST DUE AMOUNTS <br /> ARE PAID IN FULL <br /> PAYMENT <br /> RECEIVED <br /> JUN 7 2005 <br /> SAN JOAGUIN 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 /> 5255.rpt <br />