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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT COPY <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> INVOICE O Account ID AR0018158 <br /> N` Facility ID F FA0011158_ <br /> Date Printed F 4/30/2012 I <br /> RELIANCE- EXPRESS INC RE : RELIANCE EXPRESS INC <br /> 793 S TRACY BLVD 1919 E CHARTER WAY B <br /> TRACY, CA 95376 STOCKTON, CA 95205 <br /> OWNER : DEOL, AVTAR <br /> Dale Health <br /> Program Description Amount <br /> Invoice# IN0224690---Date of Invoice: 113012012 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/2712012 2244 2012 HAZMAT FEE $ 85.00 <br /> 127/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/2 712 01 2 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> Total for this Invoice $ 142.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 142.50 <br /> PAST ClUE <br /> Delinquent Charges <br /> will be forwarded t0 <br /> COLLECT�ONS <br /> 0, in 30 days. <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 110%of the Base Fee Penalties will be added at the Rate of 111/6 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 />