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SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95202 <br /> Phone: 209-468- <br /> Account ID AR0017404 <br /> Facility ID FA0010404 <br /> Date Printed 2/6/2002 <br /> BRIAN HAYN RE: TUNE UP SHOP&SVC CTR INC <br /> TUNE UP SHOP&SVC CTR INC 1 W LODI AVE <br /> 1 W LODI AVE LODI CA 95240 20 <br /> LODI CA 95240 <br /> OWNER: BRIAN HAYN <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0091886---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> 1/22/2002 2220 SM HW GEN<5 TONSNF $200.00 <br /> Total for this Invoice $217.50 <br /> Payment Due Date 3/8/2002 <br /> TOTAL DUE this Billing Period $217.50 <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 thereafter <br /> PAYMENT <br /> RECEIVED <br /> n <br /> - SAN;JOAQUIN COUNTY <br /> Pli`3�1 I�iikA�rli SERVICES <br /> ENV13UNMENirUli+f t H o•v1310y <br /> 5255.rpt <br />