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SAN JOAQUIN COUNTY <br /> ENVIRCN1612-14TAL HEALTH DEPART <br /> M� • Page 1 <br /> 304E WEBER AVE -3RD FLOOR / <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0017 000 <br /> Facility ID FA0 1104 0- <br /> LONNOWNEWMEMMA <br /> Date Printed 2/27/2003 <br /> INIMMMONNEENNINNIM <br /> KRAGEN AUTO PARTS#4049 RE : KRAGEN AUTO PARTS #1137 <br /> 1905 ASTON AVE 430 S CHEROKEE LN <br /> CARLSBAD, CA 92008 LODI, CA 95240 <br /> OWNER : CKS AUTO INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103811 --Date of Invoice: 2/2712003 <br /> 2/27/2003 2221 USED OIL ONLY-<5 TONS/YR $ 50.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 270.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 337.50 <br /> Payment Due Date 31 003 <br /> TOTAL DUE this Billing Period $ 337. <br /> PHYN' <br /> F?CCEIVED <br /> N1AR 2 4 2003 <br /> SAN Pt]SOCOREALTI N COU <br /> ENVIRONMENTAL FAURWj)V ON <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 />