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02/09/2011 15:26 7094640138 ENVIRONMENTAL HEALTH PAGE 02/02 <br /> SAN JOAQUIN COUNTY ..� P <br /> ENVIRONMENTAL HEALTH DEPARTMENT FEE 9 '20t copy <br /> 600 E MAIN STREET <br /> STOCKTON, CA 96202 SAN J041JIN C0t4NTY <br /> Phone: {209)468120 'CE OF EIu'iERC'�'��`,,w��5,��.�.- <br /> �, Aaoonl R) ARa03Q972 <br /> INVOICE � <br /> Facility ID FA0017752 <br /> lDole Parsed 1f3112Q11 <br /> M&S DISCOUNT MOTORS y *RE: M&S DISCOUNT MOTORS <br /> 303 N WILSON WAY 303 N WILSON WAY <br /> STOCKTON,CA 95205 STOCKTON,CA 95205 <br /> OWNER: M&S DISCOUNT MOTORS <br /> Date Heahh Amount <br /> PrcW&m Description <br /> Invoice IN0213407 --Data of Invoice; 11312011 IIONE minim Olin <br /> 112892011 2244 2011 HAZMAT FEE 5 100.00 <br /> 1128!2011 2399 UNIFIED PROCRAM FAC STATE SURCHARGE FEE S 24.00 <br /> 192812011 ERSC ELECTRONIC REPORTING SURCHARGE i 25'00 <br /> TeM1 ter thla InwiCa i 149.00 <br /> payment Dug Date 31212011 <br /> TOTAL DUE Chia Billing Periodi 149.00 <br /> T <br /> J <br /> Please make Cheeks PAYABLE to: 'EHD' Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES 1 HUMP Fess For all SERVICE FEES <br /> at the Rats of 100%of the Base Fee Penalties will be added aA the Ram of 10% Penalties will oe added at the Rata of I Q% <br /> 30 Days after the Due Date 45 Days otter the Involco Dare 60 Days attar tris Involco Date and each 90 Days thereafter <br /> 5254 rp4 <br />