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artn.wnvvnv VVVIv I r <br /> ENVIRONMENTAL HEALTH DEPARTMF"IT <br /> 600 E MAIN STREET r.1 <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE 3 Account ID AR00179-s <br /> —11 <br /> Facility ID F FA0010995 <br /> Date Printed F 4/28/2010 E <br /> NICA DMT INC RE : NICA METALS <br /> NICA METALS 248 W INDUSTRIAL DR <br /> PO BOX 31746 STOCKTON, CA 95206 <br /> STOCKTON, CA 95213-1746 <br /> OWNER : NICA DMT INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0198947--Date of Invoice: 2/2/2010 I II I I I II III VIII(IIII VIII VIII ILII VIII VIII 111111111111111 IIN IIII IIII <br /> 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 <br /> 2/1/2010 2244 2010 HAZMAT FEE $ 345.00 <br /> 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 211/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2010 9987 Haz Mat Program Penalty Fee $ 34.50 <br /> 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 <br /> Total for this Invoice $ 854.50 <br /> Payment Due Date 3/412010 <br /> TOTAL DUE this Billing Period $ 854.50 <br /> Delinquent charges <br /> will he forwarded io <br /> 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 I 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 />