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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF"T Page 1 <br /> 600 L MAIN•STREET <br /> STOCKTON, CA 9520 <br /> <br /> OICE AccountlD I AR0016181 <br /> Facility ID FA0009181 <br /> Date Printed f 1/28/2008 <br /> LODIHONDA RE : LODIHONDA <br /> 1700 N CHEROKEE LN 1700 N CHEROKEE LN <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LODI MOTORS INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170101 ---Date of Invoice : 1/25/2008 I I{�II�I IIII�I SII VIII VIII VIII VIII ILII VIII VIII VIII I�III l�lf IIIIII 111111111 IN <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE <br /> $ 160.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> Total for this Invoice $ 397.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 39 0 <br /> ?PY��Eo <br /> Ric <br /> 112°08 <br /> QUIN COUNTY <br /> C <br /> SMA ROt 1M TMENT <br /> w1v DEPA <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 /> �254.rpt <br />