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SAN JOAQUIN COUNTY <br />ENY!RONMENTAL HEALTH DEPARTh_ T <br />600 E MAIN STREET <br />STOCKTON, CA 95202 <br />Phone: (209) 468-3420 <br />INVOICE <br />*OQ <br />10549 N JACK TONE RD <br />STOCKTON, CA 95212 <br />Page 1 <br />Account ID AR0030129 <br />Facility ID FA0017247 <br />Date Printed 1/30/2012 <br />�rmorua <br />RE: 4RC'iQlJc.4IIV,5 Tg K <br />10549 N JACK TONE RD <br />STOCKTON, CA 95212 <br />OWNER: V*AeQ U''j.iA E <br />Bate Health <br />Pfuyran7 Description Amount <br />Invoice # IN0225424 --- Date of Invoice : 1/30/2012 <br />1127/2012 <br />2220 <br />SM HW GEN <5 TONS/YR <br />1/27/2012 <br />2223 <br />AGRICULTURAL HAZ MAT STORAGE FACILITY <br />1/27/2012 <br />2399 <br />UNIFIED PROGRAM FAC STATE SURCHARGE FEE <br />1/27/2012 <br />ERSC <br />ELECTRONIC REPORTING STATE SURCHARGE FEE <br />11111111 111111 III VIII VIII VIII VIII VIII VIII VIII IIIII IIIII IIII <br />$ <br />111111 VIII IIII IIII <br />213.00 <br />$ <br />18.00 <br />$ <br />24.00 <br />$ <br />25.00 <br />Total for this Invoice $ - 280.00 <br />Payment Due Date 2/29/2012 <br />TOTAL DUE this Billing Period $ 280.00 <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 OES / 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 thereafte <br />5254.r -pt <br />