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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPART 'T Page 1 <br /> 304 E WEBEh AVE - 3RD FLOOR <br /> STOCKTON, CA 952 <br /> <br /> AR0017359 <br /> Facility ID FA0010359 <br /> IMMEMMMMMMMMA <br /> Date Printed F 3/23/2005 <br /> JAMES PAULK AUTO BODY & PAINT RE : JAMES PAULK AUTO BODY & PAINT <br /> 2211 N WILSON WAY 2211 N WILSON WAY <br /> STOCKTON, CA 95205-3127 STOCKTON, CA 95205 <br /> OWNER : JAMES PAULK <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128286—Date of Invoice: 1/24/2005 �1111111 HIM 11111111111111111111111111111111111111111111111111111111111111111111111 <br /> 1/24/2005 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 270.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for this Involcel $ 521.00 <br /> Payment Due Date 2/23120.0 <br /> TOTAL DUE this Billing Period <br /> P"T DUE <br /> WE WL)ULO APPRECIATE YOUR <br /> PAYMENT TODAY] <br /> PAYMENT <br /> RECEIVED <br /> MAR 2 9 2005 <br /> SAN JOAOUIN 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 DES/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 />