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SAMN JOAQUIN COUNTY PUBLIC H LTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVIji <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95 <br /> <br /> <br /> Facility ID FA0009146 <br /> Date Printed 4/225/00 <br /> KEVIN A STRAW RE: MIRACLE AUTO PAINTING <br /> MIRACLE AUTO PAINTING 1251 E BIANCHI RD <br /> 1251 E BIANCHI RD STOCKTON CA 95210 <br /> STOCKTON CA 95210 35 OWNER: KEVIN A STRAW <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0069963—Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 5/25/2000 <br /> TOTAL DUE this Billing Period 110.0 <br /> Please make Checks PAYABLE to: PHS/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%ofthe 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 thereafter <br /> OF <br /> OY <br /> SAN JOAQ INpuauoKIEAScRV?rF; <br /> 5255.rpt <br />