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JMrv,JWMWUlly uvvly I r Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMW <br /> 800 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 2 ) ,, <br /> INVOICE 13 J l!/� Account ID AR0031829 <br /> Facility ID F_AO 0-18-0 9-4 <br /> Date Printed 4/26/2010 <br /> DAVILA, CESAR RE : MASTER AUTO REPAIR <br /> MASTER AUTO REPAIR 3091 N WILSON WAY <br /> 3091 N WILSON WAY STOCKTON, CA 95205 <br /> STOCKTON, CA 95205 <br /> OWNER : DAVILA, CESAR <br /> Date Health <br /> Program Description Amount <br /> Invoice IN0200519---Date ofInvoice: 2/2/2010 11111111111111111111 IN 1111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 115.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 11.50 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 601.50 <br /> Payment Due Date 314/2010 <br /> TOTAL DUE this Billing Period $ 601.50 <br /> P k4 <br /> Delinquent Chargees <br /> will be forwarded to <br /> ir 30 days, <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 I 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 />