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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMV <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />INTERSTATE TRUCK CTR - COLLISION DI <br />PO BOX 6463 <br />STOCKTON, CA 95206 <br />Page 1 <br />Account ID <br />I F—AR0018023 <br />Facility ID <br />FAO -01 1023 <br />Date Printed <br />F 1/28/2008 <br />RE: INTERSTATE TRUCK CTR -COLLISION DI <br />641 S HARRISON ST <br />STOCKTON, CA 95206 <br />OWNER: JOHN PHILLIPS <br />Date Health <br />Program Description Amount <br />Invoice # IN0170622 --- Date of Invoice : 1/25/2008 <br />1/25/2008 2227 GEN 5<25 TONS PERMIT <br />1/25/2008 2244 2008 HAZMAT FEE <br />1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />I (IIIIII IIIIII III VIII VIII VIII VIII VIII VIII (IIII VIII VIII VIII IIII <br />$ <br />IIIIII VIII IIII IIII <br />1,672.00 <br />$ <br />345.00 <br />$ <br />24.00 <br />Total forthis Invoicel $ <br />2,041.00 <br />Payment Due Date 212712 8 <br />TOTAL DUE this Billing Period $ 2,04. 0 <br />REC vED <br />FEB202u.� <br />S =pONIM WACOU1_ <br />VEAL7t{ OEp"'RTMENI <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 OES / 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 thereafte <br />254.rpt <br />