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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTV—NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0003109 <br /> Facility ID F FA0003531 <br /> Date Printed 1/24/2005 <br /> BEST CLEANERS RE : BEST CLEANERS <br /> 541 N HUTCHINS ST 541 N HUTCHINS ST <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : PANG, KYO S <br /> Date Health <br /> I Proaram_ Description _ _ Amount <br /> Invoice# IN0130142—Date of Invoice: 1/24/2005 I1I11111Ip111111ININII11pI1I1pI1pl1p1 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 224.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period 224.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 1 5 2005 <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 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 thereafter <br /> 5255.rpt <br />