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SAN JOAQUIN COUNTYPage 1 <br /> ENVIF.ONMENTAL HEALTH DEPARTA JT _ RECE VED <br /> 600 E MAIN STREET - <br /> STOCKTON, CA 95202 MAY — 2007 <br /> Phone: (209)468-3420 JAN JUAUUIN UUUN I <br /> OFFICE OF EMERGENCY SERVICES <br /> INVOICE Account to AR0016508 <br /> Facility ID F FA0009508 <br /> Date Pnnteo F 5/24/2007 <br /> BONNIE L BERNEISER RE : GUARANTEE REPAIR SERVICE <br /> GUARANTEE REPAIR SERVICE 101 COMMERCE ST <br /> PO BOX 246 LODI, CA 95240 <br /> VICTOR, CA 95253-0246 <br /> OWNER : BONNIE BERNEISER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156591 —Date of Invoice: 112512007 11111111 VIp11111111111111111111111111111111111111111111111111111111111111111111111 <br /> 1/25/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 3/15/2007 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> 4/15/2007 9994 PERMIT FEE PENALTY $ 206.00 <br /> Total for this invoice $ 782.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 782.50 <br /> PAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLE'CT'IONS <br /> in 30 days, <br /> � a <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 />