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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 1868 E HAZELTON AVENUE <br /> STOCKTON, CA 95205 <br /> n CRCC ENEDD INVOICE Account ID AR0037624 <br /> JAN 0 3 2013 Facility lD FA0020930 <br /> U1ullfl�J��5 DATE f� Date Printed 10/29!2012 <br /> IIV TIM <br /> TRUCK RENTAL CIO '`Lloter Fae� S[�' RE : RYDER TRUCK RENTAL <br /> i(PI55170 f I'�T�IDLJ14C� 4199 GIBRALTAR CT <br /> STOCKTON, CA-962-"4Uk'�-ibn I -X rl`1& I STOCKTON,CA 95206 <br /> OWNER : RYDER TRUCK RENTAL <br /> DateIlea lth <br /> Pnvjram Descnplion Amount <br /> invoice# IN0230846---Date of Invoice: 8/20/2012 11111@1111111111ININ11111111VINIuAI111111N11111 <br /> 8/20/2012 2245 ADDITION OF 2 CHEMICALS TO INVENTORY $ 400,00 <br /> 10/152012 9987 Haz Mat Program Penalty Fee $ 40.00 <br /> Total for thla Involca $ 440.00 <br /> Payment Due Date 9126/2012 <br /> TOTAL DUE this Billing Period $ 440.00 <br /> PAYMENT <br /> RECEIVED <br /> JAN 14 2013 <br /> tnt+..� ti<, f e 1"a'' DEP4gTMEN1 <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 I HMMP Fees For all SERVICE FEES <br /> at the Rate of t00%of the Baso 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 Data 60 Days after the Invoice Date and each 30 Days thereafter <br /> 5254.rpt _- <br />