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ENVIRONMENTAL HEALTH DEPARTA--NT <br /> 600 E MAIN STREET Page 1 <br /> STOCKTON, CA 95202 _ <br /> Phone: (209) 468-3420 COPY <br /> INVOICE <br /> Account ID AR0010254 <br /> Facility ID FA0007087 <br /> Date Primed 1/28/2008 <br /> BIG VALLEY FORD <br /> PO BOX 690398 RE : BIG VALLEY FORD <br /> STOCKTON, CA 95212 3282 AUTO CENTER CIR <br /> STOCKTON, CA 95212 <br /> OWNER : BIG VALLEY FORD <br /> Date Health <br /> Program Description <br /> Amount <br /> Invoice# IN0169971 ---Date of Invoice : 1!25/2008 IIIIIIIIIIIIIIII VIII VIII VIII VIIIIIIIIIIIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/25/2008 2227 GEN 5<25 TONS PERMIT <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 1,672.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 495.00 <br /> $ 24.00 <br /> Total for this Invoice $ 2,191.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 2,191.00 <br /> PAYMENT ED <br /> FEB 19 2008 <br /> SA GOUgV <br /> EN�RONMENAt' <br /> HEALTH <br /> OE FAFtflAe <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 /> ��,4 <br /> rpt <br />