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JAN JUAUUIN I:VUN I Y Page 1 ENVIRONMENTAL HEALTH DEPARTME�IT 600 E MAIN STREET STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICE Account ID AR000s7os Facility ID FA0005863 Date Printed F 4/28/2010 LUNENNEENENMNBIO STOCKTON ROOFING CO INC RE : STOCKTON ROOFING COMPANY PO BOX 1169 2712 E FREMONT ST STOCKTON, CA 95201 STOCKTON, CA 95205 OWNER : STOCKTON ROOFING COMPANY Date Health Amounl Program Description Invoice# IN0196639---Date of invoice: 12/23/2009 IIIIIIII111111IIIVIIIVIIIVIIIVIIIVIIIVIIIVIII11IIIIN11111111III11111111 Hrs Employee 11/6/2009 2220 306.FOLLOW UP FOR NON-COMPLIANCE 0.50 CACAPIT $ 57.50 3/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 4/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 Total for Nis Invoice $ 69.00 PAST DUE Invoice# IN0197449--Date of invoice: 1/2912010 1111111111 IN 1111111111111111111 Hrs Employee 12/31/2009 2220 306-FOLLOW UP FOR NON-COMPLIANCE 0.50 WONG $ 57.50 4/15/2010 9988 SERVICE CHARGE PENALTY $ 5.75 Total for this Invoice $ 63.25 Payment Due Date 3/4/2010 Invoice# IN0198588--Date of Invoice: 2/212010 IIIIIIIIIIIIII IIIIVIIIVIIIVIIIVIIIVIIIVIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 2/1/2010 2244 2010 HAZMAT FEE $ 270.00 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25'00 3/20/2010 9987 Haz Mat Program Penalty Fee $ 27.00 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 Totaorthisinvoicel $ 772.00 PAST- 704J E Payment Due Date 3/4/2010 Delinquent chariges TOTAL DUE this Billing Period $ 904.25 £ will hO forwarded t0 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/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