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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTW Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 W <br /> Phone: (209)468-3420 RECEIVED <br /> INVOICE FEB 0 4 2008 Account ID AR0017523 <br /> Facility ID FA0010523 <br /> Date Printed 1/28/2008 <br /> BRYAN MCCAMPBELL, ENV/FAC MGR RE : KENWORTH OF CENTRAL CALIFORNIA <br /> KENWORTH OF CENTRAL CALIFORNIA 10998 S HARLAN RD <br /> PO BOX 407 FRENCH CAMP, CA 95231 <br /> EUGENE, OR 97440 <br /> OWNER : PAPE PROPERTIES INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0170544---Date of Invoice: 1/25/2008 11111 1111 111111 11111 IN IN <br /> 1/25/2008 2220 SM HW GEN<5 TONSNR $ 213.00 <br /> 1/25/2008 2244 2008 HAZMAT FEE $ 405.00 <br /> 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 642.00 <br /> Payment Due Date 2/27/2008 <br /> TOTAL DUE this Billing Period $ 64 .00 <br /> P�cE V ED <br /> ' R <br /> E 1 1 LUU8 <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL <br /> HEALTH DEPARTMENT <br /> 08 2D00 <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 />