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SAN.IOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPART'"NT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> Account ID AR0025022 <br /> INVOICE <br /> Facility ID FA0014715 <br /> Date Printed 1/24/2005 <br /> OLYMPIC TUNE RE : OLYMPIC TUNE <br /> 1026 BLACK DIAMOND WAY 1026 BLACK DIAMOND WAY <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : LOUIE J SCARES <br /> Health Amount <br /> Date program Description <br /> Invoice# IN0130062—Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIIIVIII(IIII IIIA VIII VIIIVIII VIIIVIIIVIIIIIIIVIII VIII IIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 300.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Totalfor this Invoice $ 524.00 <br /> Payment Due Date 2/2312005 <br /> TOTAL DUE this Billing Period - $�524.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 5 2005 <br /> SAN JOAQUIN COUNTY <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 /> 5255.rpt <br />