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JAN UVHVUIN 4VVIV I 1 ENVIRONMENTAL HEALTH DEPARTME' 600 E MAIN STREET STOCKTON, CA 95202 Phone: (209)468-3420 AR0017405 11 y\\ �� Account ID INVOICE ' 1FA0010405 Facility ID Date Printed 4/28/2010 DELTA LIFT TRUCK & EQUIPMENT RE : DELTA LIFT TRUCK & EQUIPMENT 12811 E BRANDT RD PO BOX 2124 LOCKEFORD, CA 95237 LODI, CA 95241 OWNER : BUCHAN, STEVEN Amount Health Date Program Description VIII 111131111111111111111 Invoice# IN0198078---Date of Invoice: 2/212010 $ 2113..0000 I IIIIIII111111III VIII VIII VIII VIII VIII VIII VIII ILII 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 24.00 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 211/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 213.00 4/15/2010 9994 PERMIT FEE PENALTY Total for this Invoice $ 475.00 Payment Due Date 31412010 Invoice# IND201024--Date of Invoice : 2/2/2010 IIIIIIIIIIilllllllllllllllllllllllllllllllllllllllll11111111111111111111111111111IIII $ 260.00 2/1/2010 2244 2010 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 24.00 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 25.00 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE ($ 25.00) 2/15/2010 9997 CORRECTION TO A CHARGE ($ 24.00) 2115/2010 9997 CORRECTION TO A CHARGE $ 26.00 3/20/2010 9987 Haz Mat Program Penalty Fee Total for this Invoice $ 286.00 Payment Due Date 3/412010 LF;�, � TOTD AL UE this Billing Period $ 761.00 Delitbe to Will e t" QA¢a® COLLE in, 30 days. Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES I HMMP Fees For all SERVICE FEES 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% 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254.rpt