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SAN JOAQUIN COUNTY <br /> EKV00WENTAL HEALTH DEPART[ T Page 1 <br /> 304 E WEBER AVE -3RD FLOOD <br /> STOCKTON, C <br /> <br /> Account lD AR0017975 <br /> Facility ID FA0010975 <br /> Date Pnnted 2/27/2003 <br /> KRAGEN AUTO PARTS#1780 RE : KRAGEN AUTO PARTS#1482 <br /> 1905 ASTON AYE 309 W CHARTER WAY <br /> CARLSBAD, CA 92008 STOCKTON, CA 95206 <br /> OWNER : CSK AUTO INC <br /> Data <br /> Health DPsrriptlon Amount <br /> Invoice# IN0103935--Date of Invoice 2/2712003 <br /> 2/27/2003 2220 SM HW EN<5 TONS/YR $ 200.00 <br /> 2/27/2003 2244 2003 H NIP Annual Fee $ 270.00 <br /> 2/27/2003 2399 UNIFIE PROGRAM FAC STATE SERVICE FEE $ 17.50 <br /> Total for this Invoice $ 487.50 <br /> Payment Due Date 3/29/2008 <br /> TOTAL DUE this Billing Period $ 487.510 <br /> PAYMENT <br /> RECEIVED <br /> MAR 3 1 2003 <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Please make Checks AYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added t 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 ue Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />