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Jf11\JV tiYrV ll\ VVVI'111 <br /> ENVIRr'4MENTAL HEALTH DEPARTMF� T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKPhone: ON,209 46 <br /> <br /> Account ID AR0 222749 <br /> LMMUMMMMMMME <br /> Facility ID FA0013612 <br /> Date Printed 1/30/2006 <br /> MORGAN, ROBERT V RE : DIABLO AUTO BODY <br /> DIABLO AUTO BODY 7710 MURRAY DR <br /> 4171 INDUSTRIAL WAY STOCKTON, CA 95210-5307 <br /> TRACY, CA 95376 <br /> OWNER : DIABLO AUTO BODY <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice 9 IN0143270—Date of Invoice: 1/27/2006 I IIIIII IIIIII I VII VII VIII VIII VIII VII VI VIII VIII IIII VIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 270.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 494.00 <br /> Payment Due Date 3/112006 <br /> TOTAL DUE this Billing Period <br /> JDAYb, , ) <br /> RECE-1 -D <br /> FEB 2 4 20u.) <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 DES I 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 />