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ENVIRONMENTAL HEALTH DEPARTMIF Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0035034 <br /> 6 ✓'6 CEIVE® Facility ID FA0019672 <br /> 6 JUL 3 0 2009 Date Printed 7/28/2009 <br /> SAN JOAQUIN COUNTY <br /> LUCERO TRUCKING RE 7FFLFJ6WaM4GES <br /> 4242 E MARIPOSA RD 4242 E MARIPOSA RD <br /> STOCKTON, CA 95215 STOCKTON, CA 95215 <br /> OWNER : LUCERO, RENE & SILVIA P <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0189690---Date of Invoice : 5/26/2009 11111111 111111 III VIII VIII VIII VIII VIII VIII VIII VIII VIII IIII1111111111111111111 <br /> 5/26/2009 2244 2009 HAZMAT FEE PLUS 1 YEAR BACK BILLING $ 540.00 <br /> 5/26/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 7/15/2009 9987 Haz Mat Program Penalty Fee $ 54.00 <br /> Total for this Invoicel $ 618.00 <br /> Payment Due Date 6/26/2009 <br /> TOTAL DUE this Billing Period $ 618.00 <br /> i sa U E <br /> �.narges' <br /> ,fj�j� be biwarded t <br /> COLLFCTI0NS- <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 /> SJSd mt <br />