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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMF` Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0017630 <br /> LEMMMMMOMMMEMA <br /> Facility ID F FA0010-630-1 <br /> loommoommmommomi <br /> Date Printed 7/19/2006 <br /> LUCY NGUYEN RE : D & H AUTO TECH <br /> D & H AUTO TECH 720 E HAMMER LN STE D-10 <br /> <br /> <br /> OWNER : NGUYEN, LUCY <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0143079---Date of Invoice: 1/27/2006 IIII IIIIVI IIIIIIIVI VI VIIIVIIVIIVI III IIIIIIIIIIIIIIIIIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoicel $ 224.00 <br /> PAST DUE <br /> Invoice# IN0147508--Date of Invoice: 4/21/2006 IIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 11111111111111111111111 <br /> 4/21/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 4/21/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice I $ 224.00 <br /> Payment Due Date 5/21/2006 <br /> TOTAL DUE this Billing Period $ 448,00 <br /> PAYMENT <br /> RECEIVED <br /> JUL 2 0 2006 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> v <br /> Please make Checks PA BLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> enalties 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 enalties 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. <br />