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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF"-r Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> <br /> 449 <br /> Facility ID FA0009449 <br /> Date Printed 3/26/2008 <br /> BOULEVARD AUTOMOTIVE SVC RE : BOULEVARD AUTOMOTIVE SVC <br /> 2151 W COUNTRY CLUB BLVD 2151 W COUNTRY CLUB BLVD <br /> STOCKTON, CA 95204-4801 STOCKTON, CA 95204 <br /> OWNER : JOHN PARKER, RAY HUEY JR <br /> Date Health <br /> Program Descriptio i Amount <br /> Invoice# IN0170209---Date of Invoice: 1/25/2008 11111 11111 11111 11111 IN 111111 11111 1111 IN <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HA�MAT FEE $ 330.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 33.00 <br /> Total for this Invoice $ 600.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period <br /> PAY INA E N I <br /> RECEIVED <br /> APR 14 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> PAgT nUE! <br /> WE WOULD <br /> 70DAYE YOUR <br /> Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fes For DES/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 /> S254 rpt <br />