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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM- <br /> 304 E WEBEFJAVE -3RD FLOOR <br /> STOCK i'ON, CA 9 <br /> <br /> AccountlD AR0017988 <br /> Facility ID FA0010988 <br /> Date Printed 1/26/2007 <br /> STAN MORRI FORD RE : STAN MORRI FORD <br /> 3500 AUTO PLAZA WAY 3500 AUTO PLAZA WAY <br /> TRACY, CA 95304 TRACY, CA 95304 <br /> OWNER : STAN MORRI <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156983---Date of Invoice: 1/25/2007 11111111111111111111111111111111111111111111111111111111111111111111111111111INill <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice I $ 545.00 <br /> Payment Due Date 2/25/2007\ <br /> TOTAL DUE this Billing Period $ 545.0 1 <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 />