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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTW— 'T <br /> 600E MAIN STREET COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0016012 <br /> Facility ID FA0009012 <br /> LENEMEEEWMENEN <br /> Date Printed 1/29/2009 <br /> PELKO, FRANK JR RE : PAYLESS AUTO REPAIR INC <br /> PAYLESS AUTO REPAIR INC 26 N CHEROKEE LN B <br /> <br /> <br /> OWNER : PAYLESS AUTO REPAIR INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0183933---Date of Invoice: 1/29/2009 IIIIIIIIIIIVIIVIIVIIIIIIIIIIVIIVIIVIII VIIIIIIIII VIIIIIII IIII <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 115.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 352.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 352.00 <br /> RFCE, <br /> EFD <br /> FEB, 11 2009 <br /> HEALTH ONME O <br /> UNTY <br /> DEPAq 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 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 /> 5254.rpt <br />