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SAN 1,0AQUIN COUNTY Page 1 <br /> ENviONMENTAL HEALTH DEPARTME, v <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccocntlD AR LIMMMM 02-54 <br /> MEMMMEN <br /> Facility ID FFA0 007087 <br /> Date Printed 2/5/2004 <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 /> Health Amount <br /> Daie Program Description <br /> Invoice# IN0115433-•-Date of Invoice: 2/4/2004 <br /> 2/4/2004 2228 GEN 25<50 TONS PERMIT $ 1,792.00 <br /> $ 480.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for Nis Invoice $ 2,296.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 2,296.00 <br /> pAyMENT <br /> RECEIVED <br /> FEB 2 3 2004 <br /> SAN JOAQUIN COUNTY <br /> RONMENTAL <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STAT �Tp4siNTPAYMENT <br /> Penalties will be added to all Permit Fees For OES 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 /> 5255.rpt <br />