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OM14 JVAVUIN I.UUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTT&T <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, 95202 COPY <br /> Phone:e: (209(209)46 468-3420 <br /> INVOICE Account ID AR0016543 <br /> Facility to F FA00 9-543 <br /> Date Pnnted E 1/30/2006 <br /> A-1 TRANSMISSIONS INC RE: A-1 TRANSMISSIONS INC <br /> 3132 N WILSON WAY 3132 N WILSON WAY <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : GOODMAN, ERIC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IND142750—Date of Invoice: 1/27/2006 I IIIIIIII II III VII VI VIIII I IIII VI V IIII VIII I I I II II VI VIII <br /> 1/27/2006 2220 SM HW GEN <5 TONSNR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 85.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 309.00 <br /> Payment Due Date 3/1/20 <br /> I TOTAL DUE this Billing Period $ 309.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 14 Lu. <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 /> 5254.rpt <br />