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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTP 'T <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br /> <br /> <br /> <br />Page 1 <br />Account ID <br />AR0016496 <br />Facility ID FA0009496 III <br />Date Printed 1 4/8/2003 <br />RE: LODI TRUCK SERVICE INC <br />1430 S CHEROKEE LN <br />LODI, CA 95240 <br />OWNER: LODI TRUCK SERVICE INC <br />Date Health <br />Program Description Amount <br />Invoice # IN0103485 --- Date of Invoice : 2/27/2003 <br />2/27/2003 <br />2220 SM HW GEN <5 TONS/YR <br />$ <br />200.00 <br />2/27/2003 <br />2244 PACT TRANSFER RECORD - OES <br />$ <br />285.00 <br />2/27/2003 <br />2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br />$ <br />17.50 <br />3/15/2003 <br />9997 CORRECTION TO A CHARGE <br />($ <br />285.00) <br />Total for this Invoice <br />$ <br />217.50 <br />Payment Due Date <br />3/29/2003 <br />$ <br />%217.50 1 <br />TOTAL DUE this Billing Period <br />PAYMENT <br />RECEIVED <br />APR 7 2003 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SERVICES <br />ENVIRO'149E1'TAL HEALTH DIVISION <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 thereaftE <br />5255.rpt <br />