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•� <br /> SAN JOAOUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON. CA 95 <br /> <br /> Account ID AR0010247 <br /> Facility ID FA0007080 <br /> Date Printed 2/5/2002 <br /> QB REBUILDER RE: QB REBUILDER <br /> 5100 GOLDLEAF CIR 2325 W CHARTER WAY <br /> LOS ANGELES CA 90056 STOCKTON CA 95206 <br /> OWNER: QUICK BRAKE <br /> Health <br /> Date Program Description HFs Employee Amount <br /> Invoice# IN0090485---Date of Invoice: 1/22/2002 <br /> 1/22/2002 2229 GEN 50<250 TONS PERMIT $2,016.00 <br /> 1/22/2002 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $17.50 <br /> Total for this Invoice $2,033.50 <br /> Payment Due Date 317/2002 <br /> TOTAL DUE this Billing Periodl $2,033.50 <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 thereafter <br /> PAYMENT <br /> ''RECEIVED <br /> MAR 112002 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONA,TNTAI HEALTH DIVISION <br /> 5255.rpt <br />