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JiAN11nnI�OAQUIN COUNTY Page 1 <br /> vVIKONMENTAL HEALTH DEPARTP^- IT <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (2 <br /> AccountlD AR0016865 <br /> LUMMOMEMMEMEM <br /> Facility ID FA0009865 <br /> Date Printed 1/28/2008 <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# IN0170346---Date of Invoice: 1/25/2008 IIIIIIIIIIIVII VIIVIIVII VIII VIIVIVIIVIIIIIIIIIIVIIIIIIIII <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 315.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 552.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 552.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 19 2008 <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 />