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JAN JUAUUIN UUUN I T <br /> ENVIRONMENTAL HEALTH DEPARTM^''T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> INVOICE Account ID AR0017988 <br /> Facility ID FA0010988 <br /> Date Printed 1/30/2006 <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 II Amount <br /> Invoice# IN0143141 ---Date of Invoice: 1/27/2006 I�III111111111IIIIIIIIiIi��II1I�IIIIIIflll11111..11.11111IIIII.IIlIlIlII!!!!!!IIl�!!! <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE S 315.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 539.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 539.00 <br /> RECF tt� <br /> FEB 0 8 2UG <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 /> 5254.rpt <br />