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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF - Page 1 <br /> 600 E MAIN STREET ' <br /> STOCKTO <br /> <br /> Account ID AR0016146 <br /> Facility ID FA0009146 <br /> Date Printed 1 1/28/2008 <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# IN0170093---Date of Invoice: 1/25/2008 1111$1111 E 11111 11E 11H 11111 11111 11111 1111�11111 11111 1111 111111 11111 IE 1111 <br /> 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 255.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 492.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 492.0 <br /> 1 <br /> P CSV G+ <br /> R <br /> FEB 2 8 �ou� <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 /> 52�4.rpt <br />