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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM" 'T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTO <br /> <br /> 9 <br /> Facility ID FA0009449 <br /> Date Printed 1/24/2005 <br /> BOULEVARD AUT MOTIVE 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 Description Amount <br /> Invoice# IN0129127---Date of Invoice: /24/2005 11111 IN 11111 11111 1111 111111 11111 IN 1111 <br /> 1/24/2005 2220 SM HW G N<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZ AT FEE $ 330.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 554.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 554.00 <br /> PAYr1',��FD <br /> MAt� 2 5 Zoos <br /> JOAOum couNN <br /> SA'NVIRONME4TPTMEW <br /> t Ep,ETH DEPAR <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 /> ;2;;.rpt <br />