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_. .:.....:... . ._ __.. ... . • Page 1 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> Account ID AR0016097 <br /> INVOICE <br /> Facility ID FA0009097 <br /> Date Printed 3/28/2012 <br /> CRONIN, BILL RE : BIG O TIRES#31 <br /> BIG O TIRES#31 810 E YOSEMITE AVE <br /> 810 E YOSEMITE AVE MANTECA, CA 95336 <br /> MANTECA, CA 95336 OWNER : CRONIN, BILL/CHRISTENSEN, E <br /> HealthAmount <br /> Date Program Description <br /> Invoice IN0223171 ---Date of Invoice: 1/3012012 IIIIIIIIIIIII III VIIIIIIIIIIIVIIVII VIII VIII IIIIIIIIIIIIII 111111 VIII IIII IIII <br /> $ 213.00 <br /> 1127/2012 2220 SM HW GEN<5 TONSIYR $ 85.00 <br /> 1127/2012 2244 2012 HAZMAT FEE $ 24.00 <br /> 1127/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 <br /> 1127/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 8.50 <br /> 3115/2012 9987 Haz Mat Program Penalty Fee <br /> Total for this Invoice $ 355.50 <br /> Payment Due Date 2/2912012 <br /> TOTAL DUE this Billing Period $ 355.50 <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 <br /> For all SERVICE FEES <br /> Penalties will be added at the Rate of 10% <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% 60 Das after the Invoice Date and each 30 Days thereafter <br /> 30 Days after the Due Dale 45 Days after the Invoice Date Y <br /> 5254.rpt <br />