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JMIY,J V/1b(VIIY . VUrvI I Pagel <br /> ENVIRONMENTAL HEALTH DEPARTMEKIT <br /> 600 E MAIN STREET �. <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE h\ \ `A Amount ID �Roo,saas <br /> Facility ID FA0009449 <br /> Date Printed 4/28/2010 <br /> EILEEN COSTELLO RE : ABOVE ALL AUTO REPAIR <br /> ABOVE ALL AUTO REPAIR 2151 W COUNTRY CLUB BLVD <br /> 2151 W COUNTRY CLUB BLVD STOCKTON, CA 95204 <br /> STOCKTON, CA 95204-4801 <br /> OWNER : COSTELLO, EILEEN & RICHARD <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0197788--Date of Invoice: 2/2/2010 I IIII III III VIII VIII VIII VIII VIII VIII VIII IIIIIIIII III VIII 11111 11111111 <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 100.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 10.00 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 585.00 <br /> Payment Due Date 3/4/2010 <br /> TOTAL DUE this Billing Period $ 585.00 <br /> U <br /> Delinquent Chaarges <br /> will be forwarded ed to <br /> in 30 da•us, <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 DES/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 />