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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 C0 � <br /> INVOICE 1 � � Account ID AR0024511 (� <br /> Facility ID FA0014431 <br /> Date Printed 4/30/2012 <br /> JL WELDING RE : JL WELDING <br /> 433 W VINE ST 896 STOKES AVE <br /> STOCKTON, CA 95203 STOCKTON, CA 95215 <br /> OWNER : LARRY MEYER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0224013--Date of Invoice: 1130/212 111111111111111111111111 All IIIII 111111111111111111111111 IN 111111111111111 IN <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 285.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC R PORTING STATE SURCHARGE FEE $ 25.00 <br /> 3/15/2012 9987 Haz Mat Program Penalty Fee $ 28.50 <br /> Total for this Invoice 1 $ 362.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $ 362.50 <br /> PAST DUE <br /> Delinquent charges <br /> will be forwarded to <br /> COLLECT90NS <br /> e... in 30 days, <br /> Please make Checks PAYAB E 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 Pe ialtles 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 />