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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM_- T Page 1 <br /> 304 E WEBER AVE - 3RD FLOOR <br /> STOCKTON, CA 95202 <br /> <br /> AccountlD AR0010247 <br /> Facility ID FA0007080 <br /> Date Printed 1/24/2005 <br /> QB REBUILDER 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# IN0128076—Date of Invoice: 1/24/2005 1MIT 111111 111 11111 11111 11111 11111 11111 11111 111111111i 11111 X1111111 X11111111111111111 <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 510.00 <br /> 1/24/2005 2248 RCRA GEN 25<50 TONS $ 1,792.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice S 2,326.00 <br /> Payment Due Date \ 5 <br /> TOTAL DUE this Billing Period 2,326.00 <br /> �G h `lpp5 <br /> I <br /> I D PAYMEN <br /> FEB - 2005 RECE1kEE' <br /> FEB 14 2005 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <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 /> 5255.rpt <br />