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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPA TMENf <br /> 600 E MAIN STREET ` <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account 1D AR0020959� <br /> Facility ID FA001265� <br /> Date Printed 6/7/2007 <br /> CRAWFORD, KEN ETH RE : BACK ROADS CUSTOM CYCLE <br /> BACK ROADS CU TOM CYCLE 7939 E 11TH ST <br /> 2450 TOSTE RD TRACY, CA 95304 <br /> TRACY, CA 95377 <br /> OWNER : CRAWFORD, KENNETH <br /> Date Health <br /> Program Descriptio ! rAmount <br /> Invoice# IN0157048---Date of nvoice: /2512007 IIII�III IIIIII ll�I'll!VIII illi!Illll illi!VIII ILII VIII ILII III Iillll VIII II <br /> 1/25/2007 2220 M HW G N <5 TONS/YR $ 206.00 <br /> 1/25/2007 2399 UNIFIED ROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 4/15/2007 9994 PERMIT E PENALTY $ 206.00 <br /> Total for this Invoice $ 436.00 <br /> PAST DUE _— <br /> I <br /> TOTAL DUE this Billing Period $ 436.00 <br /> pAY�v�� <br /> PAST D U E <br /> Delinquent charges <br /> SAN jOAaUIN COUNTMEgTPL will be forwarded to <br /> HFFtvl pEpp TM W COLLECTIONS <br /> in 30 dans <br /> i <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 CES/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 />