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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 q7 <br /> <br /> Account ID AR0018067 <br /> Facility ID FA0011067 III <br /> Date Printed 1/30/2008 <br /> FARIAS AUTO REPAIR RE : FARIAS AUTO REPAIR <br /> 1823 CHEROKEE RD SPACE #1 2029 E CHEROKEE RD <br /> STOCKTON, CA 95205 STOCKTON, CA 95205 <br /> OWNER : FARIAS, JOSE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170957---Date of Invoice: 1/25/2008 1111 111111 11111 1111 IN <br /> 1/25/2008 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 100.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 337.00 <br /> Payment Due Date 2/27/2008 <br /> ti <br /> TOTAL DUE this Billing Period $ 337.00 <br /> 77 <br /> -2,1 A'. s� <br /> PAYMENT <br /> Ail RECEIVED <br /> JAN 3 0 2008 <br /> SAN JOACIUIN 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 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 /> 5254.rpt <br />