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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART*T <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0029109 <br /> Facility ID FA0016523 <br /> LMMMMEMEMMMMA <br /> Date Pnnted 6/7/2007 <br /> RALEY'S RE : RALEY'S FUEL STATION#356 <br /> RALEY'S FUEL STATION#356 4255 E MORADA LN <br /> 500 W CAPITOL AVE STOCKTON, CA 95212 <br /> SACRAMENTO, CA 95605 <br /> OWNER : RALEYS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0163689--Date of Invoice : 6/7/2007 I III III III VIII VIII IIIII VIII IIIII IIIII IIIII IIIII VIII IIII IIII IIIII IIII IIII <br /> 6/7/2007 2220 SM HW GEN<5 TONS/YR $ 206.00 <br /> 6/15/2007 9996 APPLY DISCOUNT ($ 103.00) <br /> Total for this Invoice $ 103.00 <br /> Payment Due Date 7!1/2007 <br /> TOTAL DUE this Billing Period $ 103.00 <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 />