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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF' Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 COPY <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0017097 <br /> Facility ID FA0010097 <br /> Date Printed 1/26/2007 <br /> STOCKTON AUTO DISMANTLERS INC RE : STOCKTON AUTO DISMANTLERS INC <br /> 3239 S EL DORADO ST 3239 S EL DORADO ST <br /> STOCKTON, CA 95206-3407 STOCKTON, CA 95206-3420 <br /> OWNER : DAVID W POTTS <br /> Date Health <br /> Proararn Description Amount <br /> Invoice# IN0156771 ---Date of Invoice : 1/25/2007 111111 111 11M 11111 11111 11111 IIIE 111 11111 11111 11�11 1111 1111111 11111 1111 IN <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 100.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 330.00 <br /> Payment Due Date 2/25/2007 <br /> TOTAL DUE this Billing Period $ 330.00 <br /> PAYMEN J <br /> RECEIVED <br /> FEB 21 2oor <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 /> s2s4.rpt <br />