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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> AR0016146 <br /> Facility ID FA0009146 <br /> Date Printed 1/26/2007 <br /> ems <br /> MIRACLE AUTO PAINTING RE : MIRACLE AUTO PAINTING <br /> 1251 E BIANCHI RD 1251 E BIANCHI RD <br /> STOCKTON, CA 95210-3504 STOCKTON, CA 95210-3520 <br /> OWNER : KEVIN A STRAW <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156449---Date of Invoice: 1/25/2007 111111 EIII 111 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 255.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 485.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 485.0 <br /> r <br /> I � c7i���� <br /> SAN JOP.O'JIN COUt",TY <br /> ENVH DE EF",Tn ENT <br /> I-IEALTH- <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 /> >2>4.rpl <br />