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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM --'T Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> AR0017359 <br /> LMMMMMMOMMEME <br /> Facility ID F—F-A-0 1-03-5—9 111 <br /> Date Panted 2/5/2004 <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 /> ?rcgmm nescrintion Amount <br /> L_ <br /> Invoice# IN0115992---Date of Invoice: 2/4/2004 <br /> 2/4/2004 2220 SM HW GEN<5 TONSNR $ 200.00 <br /> 2/4/2004 2244 2004 HAZMAT FEE $ 270.00 <br /> 2/4/2004 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 494.00 <br /> Payment Due Date 3/6/2004 <br /> TOTAL DUE this Billing Period $ 494.00 <br /> RECEVED <br /> MAR 3 - 2004 PAYMENT <br /> RECEIVED <br /> SAN JOAQUIN COUNTY MAR '� ,I <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT r;r.ttr: <br /> SAN JOAOUItt <br /> It ENVIRON" of��cLl <br /> JJEALTH <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 />