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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTIV 'T Page 1 <br /> 304 F WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 / <br /> Phone: (209) 468-3420 �/ <br /> INVOICE AccountlD AR0017097 <br /> Facility ID FA0010097 <br /> Date Printed 2/27/2003 <br /> STOCKTON AUTO DISMANTLERS INC RE : STOCKTON AUTO DISMANTLERS INC <br /> 3239 S ELDORADO ST 3239 S EL DORADO ST <br /> STOCKTON, CA 95206-3407 STOCKTON, CA 95206-3420 <br /> OWNER : DAVID W POTTS <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103693---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 100.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 317.50 <br /> Payment Due Date NW003 <br /> TOTAL DUE this Billing Period $ j 317.50 i <br /> F6 WENT <br /> RECEIVED <br /> NEAR 2 o 2003 <br /> SAN JOAQUIN CDlllhllfY <br /> PUBLIC HEALTH SEMMS <br /> EWPONMENTAI HC'X1HH U'l4SUr% <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 all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />