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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART* <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTGN, CA 9 <br /> <br /> count ID AR0017988 <br /> INVOICE <br /> Facility ID FA0010988 <br /> Date Printed 2/5/200, <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 Amount <br /> Program Description <br /> Invoice# IN0116130—Date of Invoice: 2/4/2004 <br /> 200.00 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR S <br /> 5 315.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE 5 24.00 <br /> Total for this Invoice $ 539.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 539.00 <br /> PAYMENT" <br /> RECEIVED <br /> FEB 2 7 20174 <br /> SAN JOAQUIN COUWY <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 /> 5255.rpt <br />