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onrv3:ivn�.t�rry �,vury i t 1. 1 I <br /> ENVIRONMENTAL HEALTH DEPARTMF''r Page i <br /> $00 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 l <br /> -,INVOICE Account ID AR0032059 <br /> 1 <br /> Facility ID FA0018219 <br /> Dale Printed 4l28�2Q10 <br /> WINN, D H RE : D H WINN TRUCKING INC <br /> D H WINN TRUCKING INC 12505 E BRANDT RD <br /> PO BOX 400 LOCKEFORD,CA 95237 <br /> LOCKEFORD., CA 95237 i <br /> OWNER : WINN, D H I <br /> i <br /> Date Health t <br /> Program Description Amount s <br /> Invoice# IN0200575---Date of Invoice: 2/2/2010 <br /> 1111111 IIIIIIlII IIIIIlIIIIlIIII l[111111111[NI1111111111111IIIIllllll[1111111[IIII[II1111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR S 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 330.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE_ $ 24.00 <br /> 2/1/2010 2832 AST FAC 10 K-</=100 K GAL CUMULATIVE $ 337.00 <br /> 2/112010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3120/2010 9987 Haz Mat Program Penalty Fee $ 33.00 i <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 337.00 ; <br /> Total for this Invoice $ 1,512.00 <br /> Payment Due Date 31412010 I <br /> i <br /> TOTAL DUE this Billing Period $ 1,512.00 <br /> Delinquent charges <br /> will be a„ to <br /> Ir 30,dayso <br /> i <br /> s <br /> I <br /> . I <br /> I <br /> i <br /> I <br /> I <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT h <br /> f <br /> Penalties will be added to all Permit Fees For OES!HMMP Fees For all SERVICE FEES I <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 i� <br />