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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMd • <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account LMMMMMMMEMA <br /> AR0032821 <br /> Facility ID FA0018 445 <br /> Date Printed 1/28/2008 <br /> CHAN, DAVID RE : PACIFIC SMOG &TUNE SHOP <br /> PACIFIC SMOG &TUNE SHOP 7711 THORNTON RD <br /> 7711 THORNTON RD STOCKTON, CA 95207 <br /> STOCKTON, CA 95207 <br /> OWNER : CHAN, DAVID <br /> Date Health Amount <br /> Program Description <br /> Invoice# IN0173219---Date of Invoice: 1/25/2008 IIIIIIIIIIIIIIIIIIIIIIIIIIII VIII VIIVIIIIIIIIIIIIIVIIIIIIIIIIVIII IIIIIIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total far this Invoice $ 237.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 237.00 <br /> PAYMENT <br /> RECEIVED <br /> MAS 2 4 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALJH D,pARTMENT <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 DES/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 />