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SAN JOAQUIN COUNTY �d Page 1 <br /> ENVIP". MENTAL HEALTH DEPARTME. <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 / <br /> INVOICE Account ID aRoo,ozsa <br /> Facility ID FA0007087 <br /> Date Printed 2/27/2003 <br /> BIG VALLEY FORD RE : BIG VALLEY FORD <br /> P.O. BOX 690398 3282 AUTO CENTER CIR <br /> STOCKTON, CA 95269 STOCKTON, CA 95212 <br /> OWNER : BIG VALLEY FORD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103222—Date of Invoice: 2/27/2003 <br /> 2/27/2003 2228 GEN 25<50 TONS PERMIT $ 1,792.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 480.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Involcel $ 2,289.50 <br /> Payment Due Date 3/29/2003 <br /> 1 <br /> TOTAL DUE this Billing Period $ 2,289. <br /> PAYMENT <br /> RECEIVED <br /> MAR 12 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLICO HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />