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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTME' Page 1 <br /> 304 E WEBER AVE -3RD FLOOR • <br /> STOCKTO <br /> <br /> t ID AR0016449� <br /> Facility ID FA0009449 <br /> Date Printed 1/26/2007 <br /> BOULEVARD AUTOMOTIVE SVC RE : BOULEVARD AUTOMOTIVE SVC <br /> 2151 W COUNTRY CLUB BLVD 2151 W COUNTRY CLUB BLVD <br /> STOCKTON, CA 5204-4801 STOCKTON, CA 95204 <br /> OWNER : JOHN PARKER, RAY HUEY JR <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0156566---Date of Invoice: 1/25/2007 1111 111111 11111 1111 IN <br /> 1/25/2007 2220 SM HW JEN<5 TONS/YR $ 206.00 <br /> 1/25/2007 2244 2007 HA MAT FEE $ 330.00 <br /> 1/25/2007 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 560.00 <br /> Payment Due Date 2/25/20077 <br /> TOTAL DUE this Billing Period $ 560.00 / <br /> PAYMENT <br /> RECEIVED <br /> MAR 14 Zoo? <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 /> 5254.rpt <br />