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SAN JOAQUIN COUNTY • <br /> ENVIRONMENTAL HEALTH DEPARTIV T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE AccountlD AR0037853 <br /> FacilitylD FA0021034 <br /> Date Printed F 1/30/2012 <br /> NORTH RIVER MILLWORK RE : NORTH RIVER MILLWORK <br /> PO BOX 5864 735 S SUTTER ST <br /> AUBURN, CA 95604 STOCKTON, CA 95203 <br /> OWNER : WILLIAM HUBER <br /> Date Health <br /> Program Description Amount <br /> Invoice 9 IN0226496---Date of Invoice: 1/30/2012 11111111 EIII 111111111111111111111111111111111111111111111111111111111111111 HII IN <br /> 1/27/2012 2244 2012 HAZMAT FEE $ 300.00 <br /> 1/27/2012 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 1/27/2012 ERSC ELECTRONIC REPORTING STATE SURCHARGE FEE $ 25.00 <br /> Total forthis Invoice $ 349.00 <br /> Payment Due Date 2/29/2012 <br /> TOTAL DUE this Billing Period $ 349.00 <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 DES 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 /> 5254.rpt <br />