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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTWFNT Page 1 <br /> l <br /> 600 E MAIN STREET <br /> <br /> <br /> VOICE Account ID AR0022749 <br /> Facility ID FA0013612 <br /> Date Printed 1/29/2009 <br /> MORGAN, ROBERT V RE : DIABLO AUTO BODY <br /> DIABLO AUTO BODY 7710 MURRAY DR <br /> 1683 E LOUISE AVE STOCKTON, CA 95210-5307 <br /> LATHROP, CA 95330 <br /> OWNER : DIABLO AUTO BODY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0184619—Date of Invoice: 1/29/2009 VIII I III II VIII IIII IIII VIII VII VIII II II V II III I IIII IIIIII 11111111 IN <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 270.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 507.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 507.00 <br /> PAYMEN <br /> RECEIVED <br /> FEB 1 1 2009 <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 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 />