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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEI Page 1 <br /> 304 E WEBER AVE -3RD FLOOR .. <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0024993 <br /> lumommmmommomma <br /> Facility ID FA0014686 <br /> Date Printed 8/12/2005 <br /> CENTURY AUTO COLLISION RE : CENTURY AUTO COLLISION <br /> 3128 E FREMONT ST 3128 E FREMONT ST <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : NORMA CORTES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0130036---Date of Invoice : 1/24/2005 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/24/2005 2244 2005 HAZMAT FEE S 255.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE S 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice <br /> ( PAST DUE <br /> Invoice# IN0131214—Date of Invoice: 3/8/2005 �I�1 I II I II I I V I (IIII V I VI I(II VII VI VI V I IIII I II VI II�III <br /> 3/8/2005 2220 SM HW GEN<5 TONS/YR S 200.00 <br /> 5/15/2005 9994 PERMIT FEE PENALTY 11 S 200.00 <br /> Total for this Invoice $ /4pp,p0 <br /> PAST DUE ��/T\�/� <br /> TOTAL DUE this Billing Period $ 704.50 <br /> 70 ,f. s� <br /> PAYMENT <br /> RECEIVED <br /> AUG 12 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> F{EAL-TH 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 /> 525 rpt <br />