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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTM • Page 1 <br /> 304 E WEBER AVE -3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountlD AR0025918 <br /> Facility ID FA0015115 <br /> LENNOMMMINIMEMMIll <br /> Printed 4/20/2005 <br /> �I D <br /> JAGUAR EXPRESS INC RE : JAGUAR EXPRESS INC <br /> PO BOX 30785 3798 S HWY 99 <br /> STOCKTON, CA 95213 STOCKTON, CA 95215 <br /> OWNER : JAGUAR EXPRESS INC <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN01 30139.—Date of Invoice: 1/24/2005 IIIIIIIIIIIIIIIIIIIIIIIIIVIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIII <br /> 1/24/2005 2220 SM HW GEN<5 TONSNR $ 200.00 <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 /> 3/15/2005 9997 CORRECTION TO A CHARGE ($ 200.00) <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 OES/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 /> 5255.rpt <br />