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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM` <br /> 304 E WEBE,'t AVE,-3RD FLOOR <br /> S'i OCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE A=unt ID AR0022739 <br /> Faclity ID I FA0013605 <br /> Date Printed 2/5/2004 <br /> TRACY DODGE CHRYSLER JEEP RE : TRACY DODGE CHRYSLER JEEP <br /> 3460 W NAGLEE RD 3460 NAGLEE RD <br /> TRACY, CA 95304 TRACY, CA 95376 <br /> OWNER : TRACY MOTOR CO <br /> Date Health Amount <br /> Program Description -- <br /> Invoice p IN0116270--Date of Invoice: 2/4/2004 $ 200.00 <br /> 2/4/2004 2220 SM HW GEN<5 TONS/YR $ 315.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE S 24.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE <br /> To[al for this Invoice $ 539.00 <br /> Payment Due Date 31612004 <br /> i <br /> TOTAL DUE this Billing Period $ 539.00/. <br /> PAYMENT <br /> RECEIVED <br /> MAR $ 2004 <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 /HMMP Fees <br /> For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be be added at the Rate of 10% Pen60 Days afterties will be the Invoice Date anded at the Rate of 10% <br /> each 30 Days thereafter <br /> 30 Days after the Due Date 45 Days after the Invoice Date Y <br /> 5255.rpt <br />