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SANJOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMf Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0020223 <br /> Facility ID F FA0012369 <br /> Date Printed 1/29/2009 <br /> Innommoommumom <br /> GREG &SUSAN LOOMIS RE : BRICKYARD AUTOMOTIVE <br /> BRICKYARD AUTOMOTIVE 820 S BECKMAN RD STE 3B <br /> 820 <br /> <br /> : LOOMIS, GREG &SUSAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0185472—Date of Invoice: 1/29/2009 IIIIIIIIIIIIII III VIII IIIIIIIIII VIII VIII VIIIIIIIIIIIIIIIIII IIIIIIIIII IIIIIIIIIIIII <br /> 1/29/2009 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 285.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 522.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 522.00 <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 />