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bAN JUAWUIN UVUIV I i Nage 1 <br /> ENVIRONMENTAL HEALTH DEPARTMEKIT <br /> 600 E MAIN STREET .. RECEIVED +� <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 APR 2 0 2009 <br /> AR0016942 <br /> INVOICK JOAQUIN COUNTY Account ID <br /> OFFICE OF EMERGENCY SERVICES yF /�y�( ' Facility ID FA0009942 <br /> LMMMMMMMMMMA <br /> jN Date Printed 3/25/2009 <br /> Lummmommomomand <br /> STEVE RODARTE, HAZ MAT MGR RE : STOCKTON LANDSCAPE STATION <br /> DEPARTMENT OF TRANSPORTATION 312 S LINCOLN ST <br /> PO BOX 2048 STOCKTON, CA 95206 <br /> STOCKTON, CA 95201 <br /> OWNER : CALTRANS / DISTRICT 10 <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0185208---Date of Invoice: 1/29/2009 IIIIIIIIIIIIIIIIIIIIIIIIilillllllllllllllllllllllillllllllllllllllllllll lllllllllilll <br /> 1/29/2009 2244 2009 HAZMAT FEE $ 270.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 27.00 <br /> Total for this Invoice $ 321.00 <br /> Payment Due Date 2/28/2009 <br /> TOTAL DUE this Billing Period $ 321.00 <br /> BAST DUE <br /> Delinquent charges <br /> will he fo mfa.rde� to <br /> CCS Na <br /> /rr 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 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 /> 5254.rpt <br />