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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPA TMF Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA <br /> <br /> AccountlD AR0017975 <br /> Facility ID FA0010975 <br /> Date Printed 1/28/2008 <br /> KRAGEN AUTO PARTS#1482 RE : KRAGEN AUTO PARTS#1482 <br /> 1905 ASTON AVE 309 W CHARTER WAY <br /> CARLSBAD, CA 9 08 STOCKTON, CA 95206 <br /> OWNER : CSK AUTO INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170611 ---Date of Invoice: 125/2008 1111111 111M E 11111 11111 11111 11111 11111 11111 11111 11111 11111 1111 111111 11111 1111 IN <br /> 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 1/25/2008 2244 2008 HAZIvAT FEE $ 270.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total forthis Invoice $ 507.00 <br /> Payment Due Date 2/27/2008 <br /> 1 <br /> TOTAL DUE this Billing Period $ 507.00 <br /> PAYMENT <br /> RECEIVED <br /> FEB 2 1 2008 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> Please make Checks PA ABLE 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 />