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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600E MAIN STREET • COPY <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0000asl <br /> -�� _ <br /> Facility ID [ FA0000482 F• <br /> Date Pnnted 1/28/2008 <br /> 3 B'S TRUCK&AUTO PLAZA RE : 3 B'S TRUCK&AUTO PLAZA <br /> <br /> LODI, CA 95240 <br /> OWNER : BAPH 3 INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170960---Date ofInvoice: 1/25/2008 IIIIII IIIIIIIIIIIIVIIIVIIVIIIVIIVIIIVIIIVIIIIIII IIIIIIIIIIIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 330.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 567.00 <br /> Payment Due Date 2/27/2006 <br /> TOTAL DUE this Billing Period $ 567. 0 <br /> a� o <br /> ,OP'QUIN COU <br /> p1V P NMt3f <br /> H�yT14 DEpA <br /> Please make Checks PAYABLE to: 'EHO' — 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 /> 5254_rpt <br />