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SAN JOAQUIN COUNTY Page 1 <br /> ENVIRONMENTAL HEALTH DEPARTMVV <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 <br /> INVOICE AccountnD AR0017928 <br /> Facility ID FA0010928 <br /> Date Printed 4/20/2005 <br /> STEVEN FERNANDES RE : STORER TRANSPORTATION <br /> STORER TRANSPORTATION 2447 STAGECOACH RD <br /> 3519 MC DONALD AVE STOCKTON, CA 95215 <br /> MODESTO, CA 95358 <br /> OWNER : STORER, DONALD <br /> Health <br /> Program Description Amount <br /> Date <br /> Invoice# IN0130331 —Date of Invoice: 112412005 �Illll�lllllllflll�llfIIIII1IIflIIII1ILII�IIIIIIIIIIIIIIIII��IIkI�IIIIIIIIIIII�II{II <br /> 1/24/2005 2244 2005 HAZMAT FEE PLUS 3 YEARS BACK BILLING $ 1,200.00 <br /> 1/24/2005 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $ 24.00 <br /> 2/25/2005 9999 PAYMENT ($ 324.00) <br /> 3/15/2005 9987 Haz Mat Program Penalty Fee $ 90.00 <br /> Total for this Invoice $ 990.00 <br /> Payment Due Date 212312005 <br /> TOTAL DUE this Billing Period $ 990.00 <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 /> 5255.rpt <br />