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SAN JUA6IUIN GUUN I Y <br /> ENVIRONMENTAL HEALTH DEPARTMF Page 1 <br /> 600 E MAIN STREET — RECEIVED <br /> STOCKTON, CA 95202 <br /> Phone: (209)468-3420 APR 2 0 2009 <br /> INVOICE SAN JOAQUIN COUNTY Account ID AR00 44615 <br /> OFFICE OF EMERGENCY SERVICES <br /> R� FacilityID FA0019465 <br /> Date Printed 3/25/2009 <br /> J&H MARINE RE : J&H MARINE <br /> <br /> STOCKTON, CA 95203 <br /> OWNER : ERIC KOSTER <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0187205.—Date of Invoice: 1129/2009 I IIIIIIIIIIIII III IIIiI11111lllil11111111111111111111llllllllllllll1111111111111111111 <br /> 1/29/2009 2244 2009 HAZMAT FEE PLUS 4 YEARS BACK BILLING $ 425.00 <br /> 1/29/2009 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> 3/15/2009 9987 Haz Mat Program Penalty Fee $ 42.50 <br /> Total tar this Invoice $ 491.50 <br /> Payment Due Date 2/2812009 <br /> TOTAL DUE this Billing Period $ 491.50 <br /> PLOUE <br /> AS-!- <br /> charges <br /> will be forwarded to <br /> COLLECTIONS <br /> rT 30 days. <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 />