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SAN JOAQUIN COUNTY <br /> _ENVIRONMENTAL HEALTH DEPARTMW Paye 1 <br /> .600 E MAIN STREET <br /> STOCKTON, CA 95202 ®�� <br /> Phone: (209)468-3420 <br /> b 2`' AR0020258 <br /> . <br /> INVOICE ��; � AccountlD [� <br /> Facility ID FA0012401 <br /> n�ac`s <br /> Date Printed 4/28/2011 <br /> L�rscq�. <br /> ADVANCED PACKAGING & DISTRIBUT RE : ADVANCED PACKAGING & DISTR <br /> <br /> MANTECA, CA 95336 <br /> OWNER : ADVANCED PACKAGING & DISTR <br /> Health <br /> Date Program Description Amount <br /> Invoice# IN0212091 ---Date of invoice: 113112011 111p111111111111111INN <br /> 1/28/2011 2244 2011 HAZMAT FEE $ 315.00 <br /> 1/28/2011 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/28/2011 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 <br /> 3/20/2011 9987 Haz Mat Program Penalty Fee $ 31.50 <br /> Total for this Invoicel $ 395.50 <br /> Payment Due Date 3/212011 <br /> TOTAL DUE this Billing Period $ 395.50 <br /> Lma,iS T U <br /> Delinquient enlarges <br /> Will beforwarded to <br /> in 30 days. <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> El <br /> es will be added to all Permit Fees For OES I HMMP Fees For all SERVICE FEEShe 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.rpL <br />