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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"'T <br /> 600 E MAIN STREET <br /> STOCKTO <br /> <br /> D AR0002102 <br /> Facility ID FA0002094 <br /> Date Printed 1/29/2009] <br /> WIGHT, LAWRENCE RE : ARCO#2133 <br /> ARCO#2133 2908 W BENJAMIN HOLT DR <br /> 2908 W BENJAMIN HOLT DR STOCKTON,CA 95209 <br /> i <br /> STOCKTON,CA 95209 <br /> OWNER : WIGHT ENTERPRISES#2 LLC <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0183596---Date of Invoice: 1/28/2009 II'IIIII IIIIIIIIIII�IIIUI IIIIIIIIIIIIIIIIIIII IIIIIIIIII IIII IIII IIIIIIIIIIIIIIIIIII <br /> 1/28/2009 1615 RETAIL MKT<2000 SQ FT (PREPKQDLT\PREP) $ 175.00 <br /> ' Total for this Invoice $ 175.00-11 <br /> Payment Due Date 2/28/2009 <br /> Invoice# IN0187102---Date of Invoice: 1/29/2009 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIII�IIIIIIIIIIIIII�IIIIIIVIIIIIIIIIII <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 / <br /> Total for this Invoice $ 237.00✓/ <br /> Payment Due Date 212812009 <br /> TOTAL DUE this Billing Period $ '412.00 <br /> i <br /> i <br /> 'gFCEIVED <br /> FES. 9 2009 <br /> SAN JOAQUIN COUNTY <br /> ENVIROIVMENTAL <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 CES 1 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 />