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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPART Page 1 <br />304 E WEBER AVE - 3RD FLOOR <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE Account ID AR0018023 <br />Facility ID FA0011023 <br />Date Printed 2/27/2007 <br />INTERSTATE TRUCK CTR - COLLISION DI RE: INTERSTATE TRUCK CTR -COLLISION DI <br />PO BOX 6463 641 S HARRISON ST <br />STOCKTON, CA 95206 STOCKTON, CA 95206 <br />OWNER: JOHN PHILLIPS <br />Date Health <br />Program Description Amount <br />Invoice # IN0156990 --- Date of Invoice : 1/25/2007 <br />1/25/2007 2227 GEN 5<25 TONS PERMIT <br />1/25/2007 2244 2007 HAZMAT FEE <br />1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII <br />VIII IIII <br />$ <br />IIIIII (IIII IIII IIII <br />1,615.00 <br />$ <br />345.00 <br />$ <br />24.00 <br />Total forth is Invoice <br />$ <br />1,984.00 <br />Payment Due Date <br />2/25/2007 <br />TOTAL DUE this Billing Period <br />$ <br />1,984.00 <br />PAYMENT <br />RECBVEQ <br />FEB 2 1 <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 />i254.rpt <br />