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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMF"T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID ARoolsoas <br /> Facility ID FA0009046 <br /> Date Printed 1/30/2006 <br /> CALIFORNIA RADIATOR WORKS RE : CALIFORNIA RADIATOR WORKS <br /> 328 S CALIFORNIA ST 328 S CALIFORNIA ST <br /> STOCKTON, CA 95203-3502 STOCKTON, CA 95203-3520 <br /> OWNER : FRANK BROCKMAN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0142545--Date of Invoice: 112712006 �1111111111111111 Hill 11111111111111111111111111111111111 Hill IN 111111 Hill IIII IN <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 285.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Involcel $ 509.00 <br /> Payment Due Date 3/112006 <br /> TOTAL DUE this Billing Period <br /> ^tCF=j��L7 <br /> FEB 23 207 <br /> SAN UO+OUIT' <br /> NEALTI�D PARI HENT <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 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 /> 5254.rpt <br />