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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> 304 E WEBER AVE -AD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: <br /> AccountlD AR0018067 <br /> Facility ID FA0011067 <br /> Date Printed 6/10/2003 <br /> FARIAS AUTO REPAIR RE :FARIAS AUTO REPAIR <br /> P.O. BOX 5875 2029 W CHEROKEE RD <br /> STOCKTON, CA 95205-0875 STOCKTON, CA 95205 <br /> OWNER :FARIAS, JOSE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0104359---Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR-Operating Permit Fee $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 100.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> 4/15/2003 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 5/15/2003 9994 PERMIT FEE PENALTY $ 200.00 <br /> Total for this Invoice $ 527.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 527.50 <br /> PAYMEN <br /> RECEIVE <br /> JUN 1 0 2003 <br /> SAN JOAQUIN C._.,. <br /> PUBLIC HEALW SE;: <br /> ENVIRONMFNTP" <br /> I <br /> °� <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 Dat- 60 Days after the I- ice Date and each 30 Days thereafter <br /> 5255.rpt <br />