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SAN JOAQUIN COUNTY <br /> Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTV IT <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA <br /> <br /> AccountlD I AR00062 9 <br /> Facility ID FA0005626 <br /> Date Printed 1/24/2005 <br /> SANBORN CHEVROLET INC RE : SANBORN CHEVROLET INC <br /> PO BOX 1057 1210 S CHEROKEE LN <br /> LODI, CA 95241-1057 LODI, CA 95241 <br /> OWNER : SANBORN CHEVROLET INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0128084---Date of Invoice: 1/24/2005 I IIIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII IIIIII 11111 <br /> IIII IIII <br /> 1/24/2005 2227 GEN 5<2 TONS PERMIT $ 1,568.00 <br /> 1/24/2005 2244 2005 H MAT FEE $ 405.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 1,997.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Periodl 1,997.00 <br /> PA <br /> RECEIVED <br /> FEB 10 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 />