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SAN,JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTP T Page 1 <br /> 304 E WEBER AVE - 3RD FLOG <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD F AR00 4472 <br /> Facility ID FA0007952—111 <br /> LMMMUMMUMMMi <br /> Date Printed 1/24/2005 <br /> MARTINI AUTO RE : MARTINI AUTO <br /> 4032 N EL DORADO ST 4032 N EL DORADO ST <br /> STOCKTON, CA 9 204 STOCKTON, CA 95204 <br /> OWNER : MARTINI'S AUTOMOTIVE <br /> Date Health <br /> Program Descriptio Amount <br /> Invoice# IN0128368---Date of Invoice: /24/2005 11111111111 E 111 11111 111�1111 11111 11111 11111 11111 11111 1111 111111 11111 1111�111 <br /> 1/24/2005 2220 SM HW G N <5 TONS/YR $ 200.00 <br /> 1/24/2005 2244 2005 HAZ AT FEE $ 100.00 <br /> 1/24/2005 2399 JNIFIED RROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> Total for this Invoice $ 324.00 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ L 324.00 <br /> PAYMENT <br /> F..ECENED <br /> FEB 2 5 2005 <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 Basle 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 Dat 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5255.rpt <br />