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JAN JUAUUIN LAJUN 1 T Pale 1 ENVIRONMENTAL HEALTH DEPARTMEMT 000 E MAIN STREET STOCKTON, CA 95202 Phone: (209) 468-3420 INVOICEAR0003169 Account to Facility ID FA0003591 Date Pnnted 4/28/2010 JAMES MICHAEL & ASSOC RE : JAMES MICHAEL & ASSOC 429 W PLUMB LN 8203 E HWY 26 RENO, NV 89509 STOCKTON, CA 95215-9536 OWNER : JAMES MICHAEL & ASSOCIATES Date Health Program Description Amount Invoice# IN0197580---Date of Invoice: 2/2/2010 I(IIIII(IIIIIIIIIIIIIVIIIIIIIIIIIIIVIIIIIIIIIIIDIIIII VIIIIIIDIIII((IIII VIIIIIIIIIII 2/1/2010 2220 SM HW GEN<5 TONS/YR $ 213.00 2/1/2010 2244 2010 HAZMAT FEE $ 270.00 2/1/2010 2301 UST STATE SURCHARGE FEE $ 15.00 2/1/2010 2301 UST STATE SURCHARGE FEE $ 15.00 2/1/2010 2301 UST STATE SURCHARGE FEE $ 15.00 2/1/2010 2360 ADDITIONAL UST $ 125.00 2/1/2010 2360 ADDITIONAL UST $ 125.00 2/1/2010 2362 UST FACILITY& 1 TANK $ 550.00 2/1/2010 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 2/1/2010 ERSC ELECTRONIC REPORTING SURCHARGE $ 25.00 3/20/2010 9987 Haz Mat Program Penalty Fee $ 27.00 4/15/2010 9994 PERMIT FEE PENALTY $ 213.00 4/15/2010 9994 PERMIT FEE PENALTY $ 550.00 4/15/2010 9994 PERMIT FEE PENALTY $ 125.00 4/15/2010 9994 PERMIT FEE PENALTY $ 125.00 Total for this Invoice $ 2,417.00 Payment Due Date 3/4/2010 TOTAL DUE this Billing Period $ 2,417.00 A Delinquent -Charges Will be foRp aided t0 in 30 Qaysn Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For DES/HMMP Fees For all SERVICE FEES 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 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter 5254 rpt