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SAN JOAQUIN COUNTY I <br /> ENVIRONMENTAL HEALTH DEPARTM- 'T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTOPI, CA 95202 <br /> Phone: (209)46 <br /> nt ID AR00242 55 <br /> Facility ID FA0014262 <br /> LEMMMMEMOMMUNA <br /> Date Printed 2/26/2010 <br /> YESCAS, DARREN RE : END OF THE LINE AUTO REPAIR <br /> END OF THE LINE AUTO REPAIR 200 COMMERCE ST#101 <br /> 200 COMMERCE ST#101 LODI, CA 95240 <br /> LODI, CA 95240-0841 <br /> OWNER : YESCAS, DARREN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0198496--Date of Invoice: 2/212010 IIIIIII IIIIII III VIII VIII VIII VIII VIII IIIIIIIII VIIVI 'II IIIIII VIII IIII IIII <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 285.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> Total for this Invoicel $ 547.00 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 547.00 <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 /> 5254.rpt <br />