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JHIN JUAUUIN LUUN I T Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM- 'T <br /> 304,E WEBER AVE-3RD FLOOR <br /> STOCKPhone: ON,209 46 95202 <br /> <br /> INVOICE Account ID AR0016865 <br /> Facility ID F FA0009865 <br /> Date Printed 1/26/2007 <br /> COUNTRY NISSAN RE : COUNTRY NISSAN <br /> 1515 N MAIN ST 1515 N MAIN ST <br /> MANTECA, CA 95336 MANTECA, CA 95336 <br /> OWNER : VINTAGE INVESTMENTS <br /> Date Health <br /> Program Description _ Amount <br /> Invoice# IN0156706—Date of Invoice: 1/2512007 p11111111IN111p1p111111111p <br /> 1/25/2007 2220 SM HW GEN <5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HAZMAT FEE $ 315.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total For this Invoice $ 545.00 <br /> Payment Due Date 2/2512007 <br /> TOTAL DUE this Billing Period $ 545.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 n 2001 <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 I 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.rp1 <br />