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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTII Page 1 <br /> 304 E WEBER AVE.-:ARD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> <br /> Facility ID FA0010496E� <br /> Date Printed 3/26/2004 <br /> ECHEVERRIA, JUAN C CAMPOS RE : TECH AUTO REPAIR <br /> TECH AUTO REPAIR 1832 E CHEROKEE RD <br /> 1832 E CHEROKEE RD STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : ECHEVERRIA, JUAN C CAMPOS <br /> Date Health <br /> Progr2.p Description o o nt <br /> Invoice# IN0116039---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 85.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/21/2004 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> Total for this Invoice $ 317.50 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 317.50 <br /> RECENED <br /> 2 02004 <br /> PAST TEYOUR APR <br /> WF WOULD APPRECiA <br /> PAYMENT TODAY SAN JOA�UiN COUNTY <br /> ENVIRONMENTAL <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 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 /> 5255.rpt <br />