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ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> _600 E MAIN STREET <br /> STOCKTON, CA 95202 )kIl - � COPY <br /> Phone: (209) 468-3420 `� <br /> /Y RCCI.eC^C O VCD <br /> INVOICE 1 Account ID AR0000057 <br /> MAY - 5 2011 <br /> 1" TY Facility ID FA0000058 <br /> SAN <br /> OFFICE OF MERGIENCYS �ted 4/28/2011 <br /> NEHER, DANIEL RE : LOCKEFORD PIZZA FACTORY <br /> LOCKEFORD PIZZA FACTORY 14088 E HWY 88 <br /> PO BOX 1700 LOCKEFORD, CA 95227 <br /> IONE, CA 95640 <br /> OWNER : NEHER ENTERPRISES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0213500--Date of Invoice: 1/31/2011 IIIIII III IIIILI III�I III�I�II VIII VIII IIII�IIII IIIIIII�I ILII IIIIIIIIIIIII <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 255.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 25.50 <br /> Total for this Invoice $ 329.50 <br /> Payment Due Date 3/2/2011 <br /> TOTAL DUE this Billing Period $ 329.50 <br /> FRA* T <br /> Delinquent Charges <br /> will be forlimar deal to <br /> C�(x L p C' i f. <br /> ;..n 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 OES/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 />