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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARI =NT <br /> 304 E WEBER.AVE -3RD FLOOR <br /> STOCKTON, CA <br /> <br /> INVOICE AccountlD AR0016757 <br /> Facility ID FA0009757 <br /> Date Printed 1/30/2006 <br /> STOCKTON DODGE INC RE : STOCKTON DODGE INC <br /> PO BOX 8009 3333 AUTO CENTER CIR <br /> STOCKTON, CA 95209 STOCKTON, CA 95212 <br /> OWNER : ROBERT BYINGTON <br /> Data Health <br /> i P,nnram Description Amount <br /> Invoice# IN0142816---Date of Invoice: 1/27/2006 I IIIIIII IIIIII III VIII VIII ILII VIII VIII VIII VIII VIII VIII IIII IIIIII VIII IIII IIII <br /> 1/27/2006 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 1/27/2006 2244 2006 HAZMAT FEE $ 390.00 <br /> 1/27/2006 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 614.00 <br /> Payment Due Date <br /> TOTAL DUE this Billing Period $ 614.00 <br /> SAN✓_F�"l 5 `�QGb <br /> RNAUlf' <br /> N N' OO UN <br /> �LROT y OFPn E;�TAC <br /> R,MFNT <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 />