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SAN JUAUU1N CUUN I Y Page 1 <br /> EN"IkONMENTAL HEALTH DEPARTME"T <br /> 304 c WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0010254 <br /> Facility ID FA0007087 <br /> Date Printed 1/30/2006 <br /> BIG VALLEY FORD RE : BIG VALLEY FORD <br /> PO BOX 690398 3282 AUTO CENTER CIR <br /> STOCKTON, CA 95212 STOCKTON, CA 95212 <br /> OWNER : BIG VALLEY FORD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142482---Date ofInvoice : 1/27/2006 ��p��pp�������p�� ��p�pp�11111 ME1111111p11p11p1111p1p1p11p11111111111IN <br /> 1/27/2006 2227 GEN 5<25 TONS PERMIT $ 1,568.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 480.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 2,072.00 <br /> Payment Due Date 3/1/2006 <br /> TOTAL DUE this Billing Period $ 072* <br /> PAYMENT <br /> RECEIVED <br /> FEB o 3 2006 <br /> SAN JOAQUIN QOUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 />