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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> ountlD AR0017404 <br /> Facility ID FA001040LI <br /> Date Printed 2/5/2004 <br /> TUNE UP SHOP & SVC CTR INC (LO RE : TUNE UP SHOP & SVC CTR INC (LODI) <br /> 1 W LODI AVE 1 W LODI AVE <br /> LODI, CA 95240 LODI, CA 95240 <br /> OWNER : BRIAN HAYN <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0116243---Date of Invoice : 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN <5 TONS/YR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 115.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 339.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 339.00 ) <br /> BECE VED <br /> R <br /> FEB 2 4 Zo04 <br /> SAN JOAQUIN COUNTY <br /> EN�IRONMENTA► <br /> HEATH 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 /> 5255.rpt <br />