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MENTAL HEALTH DEPARTMEt"— Page 1 <br /> F WEBER AVE -3RD FLOOR <br />FSTOCKTON, CA 95202 <br /> Phone: ( <br /> AR0017359 <br /> Facility ID FA0010359 <br /> Date Printed F 1/26/2007 <br /> JAMES PAULK AUTO BODY& PAINT RE : JAMES PAULK AUTO BODY& PAINT <br /> 2354 WILCOX RD 2211 N WILSON WAY <br /> STOCKTON, CA 95215-2318 STOCKTON, CA 95205 <br /> OWNER : JAMES PAULK <br /> Date Health <br /> Program Description "mount <br /> Invoice# IN0156858--Date of Invoice: 1/25/2007 111111111111111111 ME 1111111111111111111111111111111111111111 IN 111111111111111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 230.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 230.0 <br /> PAYMEN <br /> RECEIVED <br /> FEB 2 3 2067 <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 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 />