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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART/ T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 f ti <br /> INVOICE '-i RECEIVED°untlD AR0031479 <br /> APR 2 3 ZOWFacility ID FA001.7946 <br /> 1Hly JUAUUIWUlV Y ted. 3/26/2008 <br /> IFIGE OF Ev1E G&Cy s � . <br /> J-R TRUCK &TRAILER REPAIR RE : J-R TRUCK& TRAILER REPAIR <br /> 3833 DUCK CREEK DR 3833 DUCK CREEK DR A <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : MALIS RICKY INN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0173080—Date of Invoice: 1/2512008 Illllllllllllllllllllllflll�IIII�I�IIIIIIIVIIIIIIII�IIIIilll� IllllIIIIIIIIIIIIII <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 300.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2008 9987 Haz Mat Program Penalty Fee $ 30.00 <br /> Total for this Invoice, $ 354.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Periodl 354.00 <br /> -Delinquent ehar�es <br /> Orgill be forwarded to <br /> LLT10EV-11 ' <br /> 1r 3o deers. <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 I HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties wi[I 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 />