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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTI IT <br /> 600'f MAIM STREET COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Acc <br /> <br /> <br /> RE : P&C AUTO RECYCLER <br /> 2520 W BYRON RD <br /> TRACY, CA 95376 <br /> 511-3 RADS Z014,F- t��YD <br /> OWNER : DAVID PIRNIK <br /> Ih�LiTkj, C <br /> Health Amount <br /> Date I _c,— Descri tion <br /> I y,�m Description <br /> # IN0198013---Date of Invoice: 2/2/2010 I(IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 130.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE S 25.00 <br /> Total for this Invoice $ 392.00 <br /> Payment Due Date 3/4/2010 <br /> - ' r3tyk TOTAL DUE this Billing Period ;$` 392.00 <br /> PAYMENT <br /> RECEIVED <br /> MAR 0 8 2010 <br /> sAH"QUhN COUNTY <br /> EKAROM MENTAL <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 /> 5254.rpt <br />