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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPART[ T r' 600 E MAIN STREET STOCKTON, CA 95202 Phone: (209) 468-3420 Page 1 INVOICE Account ID AR0013271 Facility ID FA0007683 Date Printed 2/19/2008 FOX -RIVER PAP -0 RE : R C® „A t7 RIPON, CA 95366 PAYMENT RECEIVED FEB 19 2008 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES / 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.rp1 "' I- �I/ _ OWNER: GO Health Date Program Description Amount Invoice # IN0169989 --- Date of Invoice : 1/25/2008 I [IIIIII IIIIII III VIII VIII VIII VIII VIII VIII VIII VIII VIII [III IIIIII VIII [III [III 1/25/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 1/25/2008 2234 HAZARDOUS WASTE CESW FACILITY $ 119.00 1/25/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 Total for this Invoice $ 356.00 Payment Due Date 2/27/2008 TOTAL DUE this Billing Period $ i' 356.00 I PAYMENT RECEIVED FEB 19 2008 SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Please make Checks PAYABLE to: 'EHD' - Return a Copy of This STATEMENT with Your PAYMENT Penalties will be added to all Permit Fees For OES / 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.rp1