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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPAR- NT Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, <br /> <br /> ntlD AR0016146 <br /> Facility ID FA0009146 <br /> Date Printed 2/27/2003 <br /> MIRACLE AUTO PAINTING RE : MIRACLE AUTO PAINTING <br /> 1251 E BIANCHI RD 1251 E BIANCHI RD <br /> STOCKTON, CA 95210-3504 STOCKTON, CA 95210-3520 <br /> OWNER : KEVIN A STRAW <br /> Date Health <br /> Program Description _ _ _ Amount <br /> Invoice# IN0103338--Date of Invoice: 2/27/2003 <br /> 2/27/2003 2220 SM HW GEN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee $ 255.00 <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 472.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period 472.50 <br /> PAY K/I L_ <br /> RECEIVE'.7 <br /> MAR 2 7 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <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 Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />