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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME' ; . 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 1/26/2007 <br /> ALDO JOEL & DONNA GAMEZ RE : PRO-TOUCH AUTPOOE REPAIR <br /> PRO-TOUCH AUTOW39AVE REPAIR 255 MOFFAT BLVD <br /> 255 MOFFAT BLVD � 1D !� MANTECA, CA 95336-5742 <br /> MANTECA, CA 95336-5742 JL- 4/ <br /> S OWNER : GAMEZ, ALDO <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156735---Date of Invoice : 1/25/2007 1111111 1111 E 11111 11111 11111 11111 11111 11111 11111 11111 1111�1111 111111 11111 1111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 330.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 330.0 <br /> PAYMENT <br /> RECEIVE(--) <br /> FEB 2 6 2007 <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 /> �2i4.rpt <br />