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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM" 'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 9520 <br /> <br /> AccountiD AR0017815 <br /> Facility ID FA0010815 <br /> Date Printed 2/28/2007 <br /> COUNTRY CLUB CLEANERS RE : COUNTRY CLUB CLEANERS <br /> 3307 FAIRWAY DR ' 1901 COUNTRY CLUB BLVD <br /> STOCKTON, CA 9 204 STOCKTON, CA 95204-4821 <br /> OWNER : KITTO, JEFF <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156943---Date of Invoice: 1 25/2007 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED P OGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 230.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 230.00 <br /> IWO <br /> WEN <br /> PA <br /> MAR 2 �� <br /> OAOUIN COUNTY <br /> ' <br /> IRONMENTAL DEPARTMENT <br /> /� HEAD <br /> c <br /> p <br /> i 1 <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 /> 5254.rpt <br />