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SAN JOAQJIN COUNTY Page 1 <br /> ENViniNMENTAL HEALTH DEPARTME"T <br /> 304 E WEBER AVE - 3RD FLOOR ` <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE Account ID AR0024218 <br /> Facility ID FFA0014265 <br /> Date Printed 4!20/2005 <br /> � 7 7 <br /> RAY FARMER ENTERPRISES RE : RAY FARMER ENTERPRISES <br /> 1117 LONE PALM AVE #B 610 N HUNTER ST <br /> MODESTO, CA 95351 STOCKTON, CA 95202 <br /> OWNER : RAY FARMER ENTERPRISES <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0129453—Date of invoice: 1/24/2005 IIIIIIIIIIIIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 1/24/2005 2244 2005 HAZMAT FEE $ 85.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 8.50 <br /> Total for this Invoice $ 117.50 <br /> Payment Due Date 2/23/2005 <br /> TOTAL DUE this Billing Period $ 117.50 <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 /> i'cgrpt <br />