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JMIY JVMWUIIV I+VUN I T <br /> ENVIRONMENTAL HEALTH DEPARTMF!'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR ' <br /> STOCKTON, CA <br /> <br /> VOICE AccountlD AR0016146 <br /> Facility ID FA0009146 <br /> Date Printed 1/30/2006 <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 <br /> Amount <br /> Invoice# IN0142593---Date of Invoice: 1/27/2006 I1111111111111IIIVlII VIII IIIII IIIII IIIII IIIII IIIII VIII VIII IN 11111111111 <br /> IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR <br /> $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE <br /> $ 255.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 479.00 <br /> Payment Due Date 3/1/ <br /> TOTAL DUE this Billing Period $ 9.0 <br /> 7 <br /> i�,•'9t 1 T <br /> P 1E. <br /> FEb 2 8 2�os <br /> SAN JOAOUIj,;i;oUtgT%, <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMEIV( <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 />