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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME' ' Page 1 <br /> 30,., E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> <br /> If.An i J 2 n tu Account ID AR0010247 <br /> 1;Y: Facility ID FA0007080 <br /> Date Printed L 2/27/2003 <br /> QB REBUILDERS INC RE : QB REBUILDER <br /> 2325 W CHARTER WAY 2325 W CHARTER WAY <br /> STOCKTON, CA 95206 STOCKTON, CA 95206 <br /> OWNER : QUICK BRAKE <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0103217---Date of Invoice : 2/27/2003 <br /> 2/27/2003 2229 GEN 50<250 TONS PERMIT <br /> $ 2,016.00 <br /> 2/27/2003 2244 2003 HMMP Annual Fee <br /> $ 450.00 ,✓ <br /> 2/27/2003 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 2,483.50 <br /> Payment Due Date 3/29/2003 <br /> TOTAL DUE this Billing Period $ 2,483.50:' <br /> �c <br /> ` MAR I. 2',T1n3 �l <br /> 11r-` <br /> .---�- <br /> PAYMU,1T <br /> RECEIVED <br /> ttAR 19 M3 <br /> CONTYP <br /> UBLICOHEEA TH S RVICES <br /> ENVIRONiJ1mul HEALTH""ION <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 /> 525Srpt <br />